Active NPI
Laurie Ann Radojevich, NURSE PRACTITIONER
- Family Nurse Practitioner
- Oak Creek, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1553-33
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1553-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Medical College of Wisconsin, Inc. | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | Accepting new patients | |
| Emergency Physician Associates of Wisconsin SC | Current | Accepting new patients | |
| Ascension Medical Group-Southeast Wisconsin Inc | Current | Accepting new patients | |
| Froedtert &the Medical College of Wisconsin Community Physicians, Inc. | Current | 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
- 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.
-
- Internal Medicine Physician
- Menomonee Falls, WI
- NPI 1568787448
-
dba Ascension Medical Group
- Internal Medicine Physician
- Glendale, WI
- NPI 1609881077
-
- Emergency Medicine Physician
- Marinette, WI
- NPI 1396119426
-
dba ThedaCare Physicians
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Durable Medical Equipment & Medical Supplies
- Wauwatosa, WI
- NPI 1154947224
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.