Active NPI
Lauren M Palmer, APNP
- Family Nurse Practitioner
- Monroe, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 7972-33
- Practice address
- 515 22ND Ave
Monroe Clinic
Monroe, WI 53566-1569 - Phone
- (608) 324-2222
- Fax
- (608) 324-1246
- NPI assigned
- Jul 12, 2017
- Last updated
- Dec 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 225498 | WI | |
| Family Nurse Practitioner | 363LF0000X | 7972-33 | WI | Primary |
Addresses
Primary practice location
515 22ND Ave
Monroe Clinic
Monroe, WI 53566-1569
Mailing address
515 22ND Ave
Monroe, WI 53566-1569
Phone (608) 324-1049
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225498 | Other | WI | RN LICENSE |
| 7972-33 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | lpalmer9943@direct.monroeclinic.org | Direct |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225498 | WI | MD | General Practice Registered Nurse |
| 7972-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
1301 Kiwanis Dr
Freeport, IL 61032
Phone (815) 235-1406
3200 E Racine St
Janesville, WI 53546
Phone (608) 371-8000
100 W 8th St
Monroe, WI 53566
Phone (608) 324-1940
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
1800 2nd St
New Glarus, WI 53574
Phone (608) 527-5296
Interoperability endpoints
- lpalmer407909@direct-ehr-ssmhc.com
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.
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608681600000",
"number": "1740702653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-324-1049",
"fax_number": "608-324-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 22ND AVE",
"address_2": "MONROE CLINIC",
"city": "MONROE",
"state": "WI",
"postal_code": "535661569",
"telephone_number": "608-324-2222",
"fax_number": "608-324-1246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "LAUREN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "APNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-12",
"last_updated": "2020-12-23",
"certification_date": "2020-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "WI",
"license": "225498",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WI",
"license": "7972-33",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "225498",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7972-33",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "515 22nd Ave",
"address_2": "Monroe Clinic",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lpalmer9943@direct.monroeclinic.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "lpalmer9943@direct.monroeclinic.org",
"address_1": "515 22nd Ave",
"address_2": "Monroe Clinic",
"city": "Monroe",
"state": "WI",
"country_code": "US",
"postal_code": "535661569",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Monroe, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.