Individual provider Active NPI

Sharee Lanee Chance-Lawson, D.O.

  • Family Medicine Physician
  • Mount Pleasant, WI
National Provider Identifier
1659498822
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
51012 Issued in WI
Practice address
4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489
Phone
(262) 687-7606
Fax
(262) 687-7615
NPI assigned
Mar 23, 2007
Last updated
Oct 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036111059 IL
Family Medicine Physician 207Q00000X 51012 WI Primary

Addresses

Primary practice location

4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489

Mailing address

4328 Old Green Bay Rd
Mt Pleasant, WI 53403-9489
Phone (262) 687-7606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071112000298 WI Practitioner - Family Practice 2365406014 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Independent Physicians of Wisconsin LLCGroup PAC ID 3274842034, 42 clinicians
Advantage Physical Therapy and Sports Rehab, LLCGroup PAC ID 8022016336, shared by 3 NPIs, 289 clinicians

Practice addresses (Care Compare)

4536 22ND Ave
Kenosha, WI 53140-5917
Phone (262) 656-0044

6125 Green Bay Rd
Suite 600
Kenosha, WI 53142-2928
Phone (877) 287-1962

7200 Washington Ave
Mount Pleasant, WI 53406-6516
Phone (262) 583-0790

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51012WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kenosha Community Health Center, Inc. Family Medicine CurrentSince Nov 28, 2023 Accepting new patients
Kenosha Community Health Center, Inc. Family Medicine Current Accepting new patients
Independent Physicians of Wisconsin, LLC CurrentSince Aug 1, 2019 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc Family Medicine CurrentSince Nov 1, 2007 Accepting new patients
Kenosha Community Health Center, Inc Family Medicine CurrentSince Nov 28, 2023 Accepting new patients
Independent Physicians of Wisconsin, LLC Family Medicine CurrentSince Aug 1, 2019 Accepting new patients
Ascension All Saints Hospital, Inc Past Accepting new patients

Locations

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

4006 Washington Rd
Kenosha, WI 53144
Phone (262) 652-4006

4536 22nd Ave
Kenosha, WI 53140
Phone (262) 656-0044

6125 Green Bay Rd
Ste 600
Kenosha, WI 53142
Phone (414) 229-9637

6226 14th Ave
Kenosha, WI 53143
Phone (262) 656-0044

5434 W Capitol Dr
Ste 3
Milwaukee, WI 53216
Phone (414) 217-1229

3821 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-8460

4328 Old Green Bay Rd
Mount Pleasant, WI 53403
Phone (262) 687-7606

6232 Bankers Rd
Mount Pleasant, WI 53403
Phone (262) 554-2010

903 S 2nd St
Silver Lake, WI 53170
Phone (262) 656-0044

1120 Main St
Union Grove, WI 53182
Phone (262) 687-8000

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: schancelawson692456@direct.ochin.org
  • Direct secure messaging: sharee.chance-lawson.1@18758.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380585600000",
    "number": "1659498822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4328 OLD GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534039489",
            "telephone_number": "262-687-7606",
            "fax_number": "262-687-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4328 OLD GREEN BAY RD",
            "city": "MT PLEASANT",
            "state": "WI",
            "postal_code": "534039489",
            "telephone_number": "262-687-7606",
            "fax_number": "262-687-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANCE-LAWSON",
        "first_name": "SHAREE",
        "middle_name": "LANEE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2013-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036111059",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "51012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Pleasant, WI

Sources for this page

Verify at the official NPI Registry.