NPIMap

Individual provider Active NPI

Lauren Marsicek, PA-C

  • Physician Assistant
  • Stevens Point, WI
National Provider Identifier
1780035527
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
3763-23 Issued in WI
Practice address
4100 State Highway 66
Stevens Point, WI 54482-8410
Phone
(715) 343-7700
Fax
(715) 343-7735
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 3763-23 WI Primary

Addresses

Primary practice location

4100 State Highway 66
Stevens Point, WI 54482-8410

Mailing address

4100 State Highway 66
Stevens Point, WI 54482-8410
Phone (715) 343-7700

Other practice location 1

225000 Hummingbird Rd Ste 100
Wausau, WI 54401-2950
Phone (715) 359-6442

Other practice location 2

112 Helen St
Sauk City, WI 53583-1101
Phone (608) 643-3351

Other names 1

  • Lauren Ziebol Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lauren.ziebol@direct.prairieclinic.nextgenshare.com Direct
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001465 WI Practitioner - Physician Assistant 1153616990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Wisconsin School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates SCGroup PAC ID 2062429608, 25 clinicians

Practice addresses (Care Compare)

512 S 28TH Ave
Wausau, WI 54401-4147
Phone (715) 847-2021

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3763-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.ziebol@direct.prairieclinic.nextgenshare.com
  • Direct secure messaging: lmarsicek362824@direct.aspirus.org

Organizations & group practices 2

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 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1780035527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 66",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828410",
            "telephone_number": "715-343-7700",
            "fax_number": "715-343-7735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 STATE HIGHWAY 66",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828410",
            "telephone_number": "715-343-7700",
            "fax_number": "715-343-7735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "225000 Hummingbird Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544012950",
            "country_code": "US",
            "telephone_number": "715-359-6442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Helen St",
            "address_purpose": "LOCATION",
            "city": "Sauk City",
            "state": "WI",
            "postal_code": "535831101",
            "country_code": "US",
            "telephone_number": "608-643-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSICEK",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "3763-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.ziebol@direct.prairieclinic.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "112 Helen St",
            "city": "Sauk City",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535831101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Other",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Other",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ZIEBOL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.