Individual provider Active NPI

Lisa Genell Urbaniak, WHNP, RN

  • Women's Health Nurse Practitioner
  • Appleton, WI
National Provider Identifier
1700457264
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
10917 Issued in WI
Practice address
1611 S Madison St
Appleton, WI 54915-1844
Phone
(920) 738-2000
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 10917 WI Primary

Addresses

Primary practice location

1611 S Madison St
Appleton, WI 54915-1844

Mailing address

1611 S Madison St
Appleton, WI 54915-1844
Phone (920) 738-2000

Other identifiers 1

IdentifierTypeStateIssuer
100187769MedicaidWI

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
I20211208001331 WI Practitioner - Nurse Practitioner 2466842331 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1611 S Madison St
Appleton, WI 54915-1844
Phone (920) 738-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Specialists, S.C. CurrentSince Apr 23, 2024 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 30, 2021 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Nov 30, 2021 Accepting new patients
Ascension Calumet Hospital, Inc CurrentSince Jun 13, 2022 Accepting new patients

Locations

1818 N Meade St
Ste 330
Appleton, WI 54911
Phone (920) 749-4000

1611 S Madison St
Fl 2
Appleton, WI 54915

1611 S Madison St
Appleton, WI 54915
Phone (920) 727-4395

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

614 Memorial Dr
Chilton, WI 53014
Phone (800) 458-4042

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1700457264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151844",
            "telephone_number": "920-738-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 S MADISON ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549151844",
            "telephone_number": "920-738-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBANIAK",
        "first_name": "LISA",
        "middle_name": "GENELL",
        "credential": "WHNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WI",
            "license": "10917",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100187769",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.