Laura Jean Keatley, FNP-BC

Key facts

NPI

1972214591

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

13943 (WI)

Practice address

1910 South Ave
La Crosse, WI 54601-5467

Phone

(608) 782-7300

NPI assigned

Dec 6, 2022

Sex

Female

Sole proprietor

No

Organizations & group practices 14

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.

• Veterans Memorial Hospital City of Waukon Ia Critical Access Hospital · Waukon, IA · NPI 1164599643
  Medicare reassignment Care Compare group NPD IA
• Veterans Memorial Hospital City of Waukon Ia Emergency Medicine Physician · Waukon, IA · NPI 1235260126
  Medicare reassignment Care Compare group NPD IA
• Gundersen Clinic LTD Clinic/Center · La Crosse, WI · NPI 1851343115
  Medicare reassignment NPD IA · WI
• Gundersen Lutheran Medical Center Inc Clinic/Center · La Crosse, WI · NPI 1225873458
  Medicare reassignment NPD WI
• Gundersen Regional Clinics, LLC Clinic/Center · Decorah, IA · NPI 1699461558
  Medicare reassignment NPD IA
• Veterans Memorial Hospital City of Waukon Ia Rural Health Clinic/Center · Waukon, IA · NPI 1093306425
  Care Compare group NPD
• Veterans Memorial Hospital City of Waukon Ia Rural Health Clinic/Center · Postville, IA · NPI 1417696527
  Care Compare group NPD
• Veterans Memorial Hospital City of Waukon Ia Home Health Agency · Waukon, IA · NPI 1144351032
  Care Compare group
• Veterans Memorial Hospital City of Waukon Ia Medicare Defined Swing Bed Hospital Unit · Waukon, IA · NPI 1447381322
  Care Compare group
• Gundersen Clinic LTD Community/Retail Pharmacy · La Crosse, WI · NPI 1548710627
  NPD
• Gundersen Lutheran Express Care, Inc Clinic/Center · La Crosse, WI · NPI 1043446974
  NPD
• Gundersen Lutheran Medical Center, Inc Clinic/Center · La Crosse, WI · NPI 1497090138
  NPD
• Gundersen Lutheran Medical Center, Inc Mental Health Clinic/Center (Including Community Mental Health Center) · Onalaska, WI · NPI 1871837567
  NPD
• Gundersen Regional Clinics LLC Clinic/Center · Decorah, IA · NPI 1043999071
  NPD

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Veterans Memorial Hospital City of Waukon Ia Critical Access Hospital · Waukon, IA · NPI 1164599643
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Veterans Memorial Hospital City of Waukon Ia (40 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Veterans Memorial Hospital Hospital · Waukon, IA · CCN 161318

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in WI, IA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lkeatley803822@direct.gundersenhealth.org

Specialties & licenses

Addresses

Other names

• Laura Jean Culbert Former name

Electronic endpoints

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 17, 2023.

{
    "created_epoch": "1670284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1972214591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015429",
            "telephone_number": "608-782-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 SOUTH AVE",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546015467",
            "telephone_number": "608-782-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATLEY",
        "first_name": "LAURA",
        "middle_name": "JEAN",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-06",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A172123",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "13943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkeatley@vmhospital.com",
            "affiliation": "N",
            "address_1": "40 1st St SE",
            "city": "Waukon",
            "state": "IA",
            "country_code": "US",
            "postal_code": "521722022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkeatley803822@direct.gundersenhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Messaging Address",
            "address_1": "1910 South Ave",
            "city": "LA Crosse",
            "state": "WI",
            "country_code": "US",
            "postal_code": "546015467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "CULBERT",
            "middle_name": "JEAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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