Individual provider Active NPI

Karen M Meng, NP

  • Nurse Practitioner
  • Lodi, WI
National Provider Identifier
1881719284
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1293-033 Issued in WI
Practice address
160 Valley Dr
Lodi Medical Clinic
Lodi, WI 53555-1464
Phone
(608) 592-3296
Fax
(608) 592-7831
NPI assigned
Mar 21, 2007
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1293-033 WI Primary

Addresses

Primary practice location

160 Valley Dr
Lodi Medical Clinic
Lodi, WI 53555-1464

Mailing address

160 Valley Dr
Lodi Medical Clinic
Lodi, WI 53555-1464
Phone (608) 592-3296

Other identifiers 1

IdentifierTypeStateIssuer
36028700MedicaidWI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address saukprairie@directclinics.saukprairiehealthcare.org

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
I20070426000339 WI Practitioner - Nurse Practitioner 5597861245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sauk Prairie Healthcare IncGroup PAC ID 8224948054, 122 clinicians

Practice addresses (Care Compare)

160 Valley Dr
Lodi, WI 53555-1464
Phone (608) 592-3296

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1293-033WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sauk Prairie Healthcare Inc CurrentSince Aug 24, 2019 Accepting new patients
Sauk Prairie Healthcare, Inc. CurrentSince Aug 24, 2019 Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Sauk Prairie Healthcare Inc Current Accepting new patients
Dean Health Systems, Inc Past Accepting new patients
Sauk Prairie Healthcare Inc Past Accepting new patients

Locations

160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296

506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110

825 Main St
Plain, WI 53577
Phone (608) 546-4211

260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471

436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: karen.meng@direct.saukprairiehealthcare.org

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, 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1881719284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 VALLEY DR",
            "address_2": "LODI MEDICAL CLINIC",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551464",
            "telephone_number": "608-592-3296",
            "fax_number": "608-592-7831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 VALLEY DR",
            "address_2": "LODI MEDICAL CLINIC",
            "city": "LODI",
            "state": "WI",
            "postal_code": "535551464",
            "telephone_number": "608-592-3296",
            "fax_number": "608-592-7831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENG",
        "first_name": "KAREN",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "1293-033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36028700",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "saukprairie@directclinics.saukprairiehealthcare.org",
            "affiliation": "N",
            "address_1": "160 Valley Dr",
            "address_2": "Lodi Medical Clinic",
            "city": "Lodi",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535551464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lodi, WI

Sources for this page

Verify at the official NPI Registry.