Individual provider Active NPI

Laura Ann Kresch, DNP, APNP, FNP-BC

  • Family Nurse Practitioner
  • Highland Park, IL
National Provider Identifier
1679091185
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7761-33 Issued in WI
Practice address
1840 Green Bay Rd
Highland Park, IL 60035-3110
Phone
(847) 377-8000
NPI assigned
Sep 5, 2017
Last updated
Jun 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7761-33 WI Primary

Addresses

Primary practice location

1840 Green Bay Rd
Highland Park, IL 60035-3110

Mailing address

1726 30TH St
Kenosha, WI 53140-2251

Other practice location 1

3010 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171101003549 WI Practitioner - Nurse Practitioner 0446516751 Reassigns benefits to 1 organization
I20200422002380 IL Practitioner - Nurse Practitioner 0446516751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of LakeGroup PAC ID 7214838861, 42 clinicians

Practice addresses (Care Compare)

224 W Clarendon Dr
Round Lake Beach, IL 60073-1896
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8800

2410 Belvidere Rd
Waukegan, IL 60085-6165
Phone (847) 377-8686

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7761-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
County of Lake Current Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince Oct 1, 2017 Accepting new patients
County of Lake CurrentSince Feb 19, 2020 Accepting new patients
County of Lake CurrentSince Feb 19, 2020 Accepting new patients

Locations

1840 Green Bay Rd
Highland Park, IL 60035
Phone (847) 377-5343

224 W Clarendon Dr
Round Lake Beach, IL 60073
Phone (847) 377-8800

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

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

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

Interoperability endpoints

  • Direct secure messaging: laura.kresch.p1@direct.lakecountyil.nextgenshare.com

Organizations & group practices 4

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 2

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1679091185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 30TH ST",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531402251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 GREEN BAY RD",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353110",
            "telephone_number": "847-377-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3010 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Waukegan",
            "state": "IL",
            "postal_code": "600852321",
            "country_code": "US",
            "telephone_number": "847-377-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRESCH",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "DNP, APNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-05",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "7761-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

Verify at the official NPI Registry.