Individual provider Active NPI

Lauren K Konkel

  • Nurse Practitioner
  • Milwaukee, WI
National Provider Identifier
1932489168
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4480 Issued in WI
Practice address
2801 W. Kinnickinnic River Parkway
Suite 777
Milwaukee, WI 53215
Phone
(414) 649-3390
Fax
(414) 649-5769
NPI assigned
Aug 19, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 4480 WI Primary

Addresses

Primary practice location

2801 W. Kinnickinnic River Parkway
Suite 777
Milwaukee, WI 53215

Mailing address

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Phone (414) 649-3390

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lkonkel30349@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20120321000068 WI Practitioner - Nurse Practitioner 0840450375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aurora Medical Group, Inc.Group PAC ID 6709794258, 3,764 clinicians

Practice addresses (Care Compare)

20 N Church St
Elkhorn, WI 53121-1706
Phone (262) 723-6811

Hospital & facility affiliations

  • Aurora St Lukes Medical Center Hospital, Milwaukee, WI, CCN 520138

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4480WIMDOccupational Therapist
4830-33WIMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aurora Medical Group, Inc. CurrentSince Aug 8, 2016 Accepting new patients
Aurora Quick Care, LLC Nurse Practitioner CurrentSince Feb 8, 2012 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Aug 8, 2016 Accepting new patients
Aurora Medical Group, Inc. Past Accepting new patients

Locations

1415 Lawrence Dr
#1
De Pere, WI 54115
Phone (920) 339-4328

20 N Church St
Elkhorn, WI 53121
Phone (262) 723-4788

10932 N Port Washington Rd
Mequon, WI 53092
Phone (262) 240-0169

2801 W Kinnickinnic River Pkwy
Ste 530
Milwaukee, WI 53215
Phone (414) 646-2550

2801 W Kinnickinnic River Pkwy
Ste 777
Milwaukee, WI 53215
Phone (414) 649-3390

2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215
Phone (414) 384-5111

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

607 Tyler Ave
Omro, WI 54963
Phone (920) 685-7400

9201 Washington Ave
Racine, WI 53406
Phone (262) 504-5471

Interoperability endpoints

  • Direct secure messaging: lkonkel30349@direct.myadvocateaurora.org

Organizations & group practices 4

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 2

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": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1932489168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W KINNICKINNIC RIVER PKWY",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532153669",
            "telephone_number": "414-649-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W. KINNICKINNIC RIVER PARKWAY",
            "address_2": "SUITE 777",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "53215",
            "telephone_number": "414-649-3390",
            "fax_number": "414-649-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONKEL",
        "first_name": "LAUREN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "4480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkonkel30349@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2801 W. Kinnickinnic River Parkway",
            "address_2": "Suite 777",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2801 W. Kinnickinnic River Parkway",
            "address_2": "Suite 777",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.