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LARONDA JAMES NURSE PRACTITIONER
NPI 1093274425
Nurse Practitioner in Pleasant Prairie, WI

Active since March 15, 2019PECOS EnrolledAccepts Medicare Assignment
79.61/100
CMS Quality Rating
9697 SAINT CATHERINES DR, PLEASANT PRAIRIE, WI 53158(262) 656-3338(262) 656-3368 Get Directions Write a Review

NPPES record last updated: August 28, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 28, 2019, Aug 22, 2019, Apr 8, 2019 and 1 more (4 updates tracked since 2019).

About Laronda James Nurse Practitioner NPPES

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

LARONDA JAMES NURSE PRACTITIONER (NPI 1093274425) is an individual nurse practitioner in Pleasant Prairie, Wisconsin, licensed in Wisconsin (9146-33) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Froedtert South Inc., and is a graduate of Other (2018).

NPPES Registry Identity

NPI1093274425
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLARONDA JAMESCredential: NURSE PRACTITIONER
Location Address9697 SAINT CATHERINES DRPleasant Prairie, WI 53158-2118
Mailing Address9697 Saint Catherines DrPleasant Prairie, WI 53158-2118 · (262) 656-3338 · Fax (262) 656-3368
Phone(262) 656-3338
Fax(262) 656-3368
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 15, 2019
Last NPPES UpdateAugust 28, 20194 updates tracked since enumeration
✔ NPI 1093274425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9146-33
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9146-33 (WI)
9697 SAINT CATHERINES DR, Pleasant Prairie, WI 53158
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laronda James Nurse Practitioner is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628310505
PECOS Enrollment IDI20190424001419
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
408 services315 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
79 services64 patients
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651
This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
43 services43 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
29 services24 patients
Removal of impacted ear wax by washing 69209
Impacted ear wax removal by washing, also known as ear irrigation, involves using a pressurized flow of water to break up and dislodge the ear wax. This safe procedure helps restore normal hearing and relieve discomfort caused by the blockage.
17 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Froedtert South Inc.

Acute Care Hospitals · Pleasant Prairie, WI
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number520021
Location9555 76th StPleasant Prairie, WI 53158 · Kenosha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53158 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.88
Promoting Interoperability100
Improvement Activities40
Cost61.15

Other Providers at the Same Location NPPES 10

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

MEGAN LEE PA-C
Physician Assistant
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
MHD ANAS ALSAWAF MBBS, MD
Orthopaedic Surgery
9697 SAINT CATHERINES DR, STE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
DR. NICHOLAS CAIN PT, DPT
Physical Therapist (Sports)
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8141
MICHELLE LOUISE GAUTHIER DO
Family Medicine
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 577-8320
ABDUL SAMI KHAN MD
Internal Medicine (Gastroenterology)
9697 SAINT CATHERINES DR
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 653-5330
PAIN CENTERS OF WISCONSIN - KENOSHA, LLC
Clinic/Center (Ambulatory Surgical)
9697 SAINT CATHERINES DR, STE 102
PLEASANT PRAIRIE, WI 53158
Kenosha County (414) 325-7246
DR. ALAN P. GEGENHEIMER D.O.
Orthopaedic Surgery
9697 SAINT CATHERINES DR, SUITE 200
PLEASANT PRAIRIE, WI 53158
Kenosha County (262) 656-3590
ADVANCED PAIN MANAGEMENT SC
Durable Medical Equipment & Medical Supplies
9697 SAINT CATHERINES DR, SUITE 101
PLEASANT PRAIRIE, WI 53158
Kenosha County (414) 325-7246

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 Laronda James's NPI number?

The NPI number for Laronda James is 1093274425. It was assigned to this individual provider in the NPPES registry on March 15, 2019.

Where is Laronda James located?

Laronda James practices at 9697 Saint Catherines Dr, Pleasant Prairie, WI 53158. The listed phone number is (262) 656-3338.

What is Laronda James's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laronda James enrolled in Medicare?

Yes. Laronda James is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laronda James accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Network Health list Laronda James 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.

Is Laronda James affiliated with any hospitals?

According to CMS data, Laronda James is affiliated with Froedtert South Inc..

When was this NPI record last updated?

The NPPES record for Laronda James was last updated on August 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.