LAUREN WILLOUGHBY
NPI 1114485695
Emergency Medicine in Milwaukee, WI

Active since March 04, 2019PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 955-6450(414) 955-0082 Get Directions Write a Review

NPPES record last updated: July 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2023, Jul 14, 2023, Jul 14, 2022 and 1 more (4 updates tracked since 2019).

About Lauren Willoughby NPPES

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

LAUREN WILLOUGHBY (NPI 1114485695) is an individual emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (80119) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Community Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1114485695
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameLAUREN WILLOUGHBY
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522 · (414) 955-6450 · Fax (414) 955-0082
Fax(414) 955-0082
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2019
Enumeration DateMarch 4, 2019
Last NPPES UpdateJuly 19, 20234 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
NPI 1114485695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WI · 80119
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
9200 W WISCONSIN AVE, Milwaukee, WI 53226

Secondary Practice Locations 4

Location 1W180N8085 Town Hall RdMenomonee Falls, WI 53051-3518 · Phone (262) 251-1000 · Fax (262) 518-5052
Location 2209 Pewaukee RdPewaukee, WI 53072-1150 · Phone (262) 956-6150 · Fax (262) 956-6160
Location 34805 S Moorland RdNew Berlin, WI 53151-7401 · Phone (262) 796-0001 · Fax (262) 796-0059
Location 411421 N Port Washington RoadMequon, WI 53092-0990 · Phone (262) 518-4910 · Fax (262) 518-4911

Other Identifiers 1

Medicaid1114485695WI

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

Lauren Willoughby 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 ID3870836612
PECOS Enrollment IDI20220712003056
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
160 services157 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
124 services90 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
107 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Froedtert Community Hospital

Acute Care Hospitals · New Berlin, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number520213
Location4805 S Moorland RdNew Berlin, WI 53151 · Waukesha County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Willoughby's NPI number?

The NPI number for Lauren Willoughby is 1114485695. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Where is Lauren Willoughby located?

Lauren Willoughby practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 955-6450.

What is Lauren Willoughby's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Lauren Willoughby enrolled in Medicare?

Yes. Lauren Willoughby 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.

Is Lauren Willoughby affiliated with any hospitals?

According to CMS data, Lauren Willoughby is affiliated with Community Memorial Hospital, Froedtert Memorial Lutheran Hospital and Froedtert Community Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Willoughby was last updated on July 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.