Individual provider Active NPI

Lisa R Cook, NP

  • Family Nurse Practitioner
  • Marinette, WI
National Provider Identifier
1740446855
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3444-033 Issued in WI
Practice address
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone
(715) 735-5225
Fax
(715) 735-5388
NPI assigned
Jul 29, 2008
Last updated
Mar 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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 3444-033 WI Primary

Addresses

Primary practice location

2820 Roosevelt Rd
Marinette, WI 54143-3834

Mailing address

PO Box 1866
Green Bay, WI 54305-1866
Phone (920) 445-7226

Other practice location 1

3919 Hall Ave
Marinette, WI 54143-1017
Phone (715) 735-5225

Other practice location 2

15481 Commercial Rd Ste E
Lakewood, WI 54138-9677
Phone (715) 276-9048

Other practice location 3

3263 Eaton Rd
Green Bay, WI 54311-6830
Phone (920) 433-6000

Other practice location 4

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 433-6000

Other identifiers 1

IdentifierTypeStateIssuer
F0608315OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

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
I20081124000089 WI Practitioner - Nurse Practitioner 8224198049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone (920) 430-4700

2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3444-033WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc CurrentSince Nov 14, 2016 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 13, 2021 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Nov 14, 2016 Accepting new patients
Oconto Hospital & Medical Center Inc Past Accepting new patients
Northreach Healthcare LLC PastSince Sep 1, 2008 Accepting new patients

Locations

1630 Commanche Ave
Green Bay, WI 54313
Phone (920) 430-4700

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

15481 Commercial Rd
Ste E
Lakewood, WI 54138
Phone (715) 276-9048

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

3200 Shore Dr
Ste 4
Marinette, WI 54143
Phone (715) 732-8610

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

441 French St
Peshtigo, WI 54157
Phone (715) 582-3622

Interoperability endpoints

  • Direct secure messaging: lcook31391@direct.thedacare.org
  • Direct secure messaging: lcook926030@direct.emplifyhealth.org

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 4

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1740446855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1866",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543051866",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ROOSEVELT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433834",
            "telephone_number": "715-735-5225",
            "fax_number": "715-735-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3919 Hall Ave",
            "address_purpose": "LOCATION",
            "city": "Marinette",
            "state": "WI",
            "postal_code": "541431017",
            "country_code": "US",
            "telephone_number": "715-735-5225",
            "fax_number": "715-735-5388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15481 Commercial Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Lakewood",
            "state": "WI",
            "postal_code": "541389677",
            "country_code": "US",
            "telephone_number": "715-276-9048",
            "fax_number": "920-445-7289",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3263 Eaton Rd",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543116830",
            "country_code": "US",
            "telephone_number": "920-433-6000",
            "fax_number": "920-433-6009",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1630 Commanche Ave",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543135753",
            "country_code": "US",
            "telephone_number": "920-433-6000",
            "fax_number": "920-430-4719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOK",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-29",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3444-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F0608315",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marinette, WI

Sources for this page

Verify at the official NPI Registry.