Individual provider Active NPI

Laurie Ann Radojevich, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Oak Creek, WI
National Provider Identifier
1851486518
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1553-33 Issued in WI
Practice address
7901 S 6TH St
Oak Creek, WI 53154-2010
Phone
(414) 346-8000
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 1553-33 WI
Family Nurse Practitioner 363LF0000X 1553-33 WI Primary

Addresses

Primary practice location

7901 S 6TH St
Oak Creek, WI 53154-2010

Mailing address

3304 W Puetz Rd
Franklin, WI 53132-9354
Phone (414) 779-7788

Other practice location 1

1818 N Meade St
Appleton, WI 54911
Phone (920) 731-8900

Other practice location 2

3803 Spring St Ste 400
Mount Pleasant, WI 53405
Phone (262) 687-8774

Other practice location 3

3803 Spring St Ste 400
Mount Pleasant, WI 53405
Phone (262) 687-8774

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
I20160304000316 WI Practitioner - Nurse Practitioner 7911203740 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462
Phone (414) 955-5990

1700 W Paradise Dr
West Bend, WI 53095-9795
Phone (262) 334-3451

4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone (262) 798-7200

W168N11237 Western Ave
Germantown, WI 53022-3239
Phone (262) 253-5060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1553-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Medical College of Wisconsin, Inc. Current Accepting new patients
Thedacare, Incorporated CurrentSince Oct 18, 2019 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 3, 2024 Accepting new patients
Emergency Physician Associates of Wisconsin SC CurrentSince Oct 28, 2020 Accepting new patients
Ascension Medical Group-Southeast Wisconsin Inc CurrentSince May 29, 2018 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. CurrentSince May 3, 2024 Accepting new patients

Locations

122 E College Ave
Appleton, WI 54911
Phone (920) 996-3264

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

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

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

13950 W Capitol Dr
Brookfield, WI 53005
Phone (414) 302-5400

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

6308 8th Ave
Kenosha, WI 53143
Phone (262) 653-5300

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

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

3803 Spring St
Mount Pleasant, WI 53405
Phone (262) 687-3973

3803 Spring St
Ste 400
Mount Pleasant, WI 53405
Phone (262) 687-8208

200 Theda Clark Medical Plz
Ste 320
Neenah, WI 54956
Phone (920) 722-3341

7901 S 6th St
Oak Creek, WI 53154
Phone (414) 346-8000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

125 Hospital Dr
Watertown, WI 53098
Phone (920) 261-4210

N14W23900 Stone Ridge Dr
Waukesha, WI 53188
Phone (262) 549-3030

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

Interoperability endpoints

  • Direct secure messaging: lradojevich554391@direct.froedtert.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1851486518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3304 W PUETZ RD",
            "city": "FRANKLIN",
            "state": "WI",
            "postal_code": "531329354",
            "telephone_number": "414-779-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 S 6TH ST",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531542010",
            "telephone_number": "414-346-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "54911",
            "country_code": "US",
            "telephone_number": "920-731-8900",
            "fax_number": "920-225-1414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3803 Spring St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "53405",
            "country_code": "US",
            "telephone_number": "262-687-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3803 Spring St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "WI",
            "postal_code": "53405",
            "country_code": "US",
            "telephone_number": "262-687-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOJEVICH",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "WI",
            "license": "1553-33",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "1553-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Creek, WI

Sources for this page

Verify at the official NPI Registry.