Individual provider Active NPI

Lisa M Frisque, NP-C

  • Nurse Practitioner
  • Sturgeon Bay, WI
National Provider Identifier
1700066685
Registry record updated Nov 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
405933 Issued in WI
Practice address
1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone
(920) 746-7200
NPI assigned
Nov 8, 2007
Last updated
Nov 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 405933 WI Primary

Addresses

Primary practice location

1910 Alabama St
Sturgeon Bay, WI 54235-3532

Mailing address

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

Other identifiers 1

IdentifierTypeStateIssuer
38321300MedicaidWI

Other names 1

  • Miss Lisa Marie Frisque Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lfrisque57639@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000192 WI Practitioner - Nurse Practitioner 5496886343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

1020 N 12TH St
Milwaukee, WI 53233-1308
Phone (414) 219-3056

1881 Chicago St
De Pere, WI 54115-3770
Phone (920) 403-8000

1910 Alabama St
Sturgeon Bay, WI 54235-3532
Phone (920) 746-7200

2845 Greenbrier Rd
Green Bay, WI 54311-6519
Phone (920) 288-8100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
405933WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince May 11, 2010 Accepting new patients
Aurora Medical Group, Inc. CurrentSince May 11, 2010 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

123 N Military Ave
Green Bay, WI 54303
Phone (920) 494-3421

2733 S Ridge Rd
Green Bay, WI 54304
Phone (920) 497-6200

601 Reed Ave
Manitowoc, WI 54220
Phone (920) 682-8841

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

3301 W Forest Home Ave
Milwaukee, WI 53215
Phone (414) 389-2233

2414 Kohler Memorial Dr
Sheboygan, WI 53081
Phone (920) 457-4461

108 S 10th Ave
Sturgeon Bay, WI 54235
Phone (920) 746-7955

1910 Alabama St
Sturgeon Bay, WI 54235
Phone (920) 746-7200

Interoperability endpoints

  • Direct secure messaging: lfrisque57639@direct.myadvocateaurora.org

Organizations & group practices 3

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 1

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": "1194480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1700066685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 ALABAMA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353532",
            "telephone_number": "920-746-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ALABAMA ST",
            "city": "STURGEON BAY",
            "state": "WI",
            "postal_code": "542353532",
            "telephone_number": "920-746-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRISQUE",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-08",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "405933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38321300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lfrisque57639@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1910 Alabama St",
            "city": "Sturgeon Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542353532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1910 Alabama St",
            "city": "Sturgeon Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "542353532",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "FRISQUE",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sturgeon Bay, WI

Sources for this page

Verify at the official NPI Registry.