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LAUREN HEABERLIN M.D.
NPI 1033503958
Pediatrics in Greenfield, WI

Active since March 28, 2015PECOS Enrolled
6901 W EDGERTON AVE, GREENFIELD, WI 53220(414) 325-5244 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 23, 2024, May 24, 2022, Apr 23, 2021 and 1 more (4 updates tracked since 2018).

About Lauren Heaberlin M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN HEABERLIN M.D. (NPI 1033503958) is an individual pediatrics provider in Greenfield, Wisconsin, licensed in Wisconsin (75000) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033503958
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameLAUREN HEABERLINCredential: M.D.
Location Address6901 W EDGERTON AVEGreenfield, WI 53220-4420
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 325-5244
Sole ProprietorNo
Enumeration DateMarch 28, 2015
Last NPPES UpdateApril 23, 20244 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1033503958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 75000✔ Licensed in IL · 125-066722✔ Licensed in IL · 036145519
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
6901 W EDGERTON AVE, Greenfield, WI 53220
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Other Identifiers 1

Medicaid100163447WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Heaberlin M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AURORA MEDICAL GROUP, INC.
Durable Medical Equipment & Medical Supplies
6901 W EDGERTON AVE
MILWAUKEE, WI 53220
Milwaukee County (414) 421-8400
ABDULREHMAN SIDDIQUI MB BCH BAO
Family Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 325-5244
LAUREN D STIEBER APNP
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 325-5244
MR. BRAD A. JOHNSON MD
Internal Medicine (Critical Care Medicine)
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 421-8400
ANNA E SECKAR-ANDERSON APNP
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 325-5244
HEIDI J HARKINS MD
Internal Medicine
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 421-8400
MELISSA A LYNCH PAC
Physician Assistant
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 325-5244
MS. ANA M SANCHEZ FNP-BC
Nurse Practitioner
6901 W EDGERTON AVE
GREENFIELD, WI 53220
Milwaukee County (414) 325-5244

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Heaberlin's NPI number?

The NPI number for Lauren Heaberlin is 1033503958. It was assigned to this individual provider in the NPPES registry on March 28, 2015.

Where is Lauren Heaberlin located?

Lauren Heaberlin practices at 6901 W Edgerton Ave, Greenfield, WI 53220. The listed phone number is (414) 325-5244.

What is Lauren Heaberlin's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Lauren Heaberlin enrolled in Medicare?

Yes. Lauren Heaberlin is registered in the Medicare PECOS enrollment system.

What insurance does Lauren Heaberlin accept?

Health plans from CareSource (Common Ground Healthcare) list Lauren Heaberlin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lauren Heaberlin was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.