Individual provider Active NPI

Lauren Wadland Meisel, M.D.

  • Pediatrics Physician
  • Petoskey, MI
National Provider Identifier
1922201433
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A116341 Issued in CA
Practice address
2390 Mitchell Park Dr Ste a
Petoskey, MI 49770-8965
Phone
(231) 487-2250
Fax
(231) 412-6360
NPI assigned
Jun 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD13266 RI
Pediatrics Physician 208000000X LP01048 RI
Pediatrics Physician 208000000X 4301101691 MI
Pediatrics Physician 208000000X A116341 CA Primary

Addresses

Primary practice location

2390 Mitchell Park Dr Ste a
Petoskey, MI 49770-8965

Mailing address

PO Box 655
Alpena, MI 49707-0655
Phone (989) 736-9815

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.meisel.p1@direct.alcona.nextgenshare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130211000474 MI Practitioner - Pediatric Medicine 5890987838 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301101691MIMDPediatrics Physician
LP01048RIMDPediatrics Physician
MD13266RIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alcona Citizens for Health, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Alcona Citizens for Health, Inc. Pediatrics CurrentSince Feb 1, 2021 Accepting new patients
Alcona Citizens for Health Inc Past Accepting new patients

Locations

1035 W Washington Ave
Alpena, MI 49707

177 N Barlow Rd
Harrisville, MI 48740
Phone (989) 736-3020

2390 Mitchell Park Dr
Ste A
Petoskey, MI 49770
Phone (231) 487-2250

Interoperability endpoints

  • Direct secure messaging: lmeisel585131@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1922201433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-9815",
            "fax_number": "989-357-3734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 MITCHELL PARK DR STE A",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708965",
            "telephone_number": "231-487-2250",
            "fax_number": "231-412-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEISEL",
        "first_name": "LAUREN",
        "middle_name": "WADLAND",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "MD13266",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "RI",
            "license": "LP01048",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301101691",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A116341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.meisel.p1@direct.alcona.nextgenshare.com",
            "affiliation": "N",
            "address_1": "2390 Mitchell Park Dr Ste A",
            "city": "Petoskey",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497708965",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Petoskey, MI

Sources for this page

Verify at the official NPI Registry.