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LORI A NELSON APNP
NPI 1124058912
Nurse Practitioner in Milwaukee, WI

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
2350 N LAKE DR, SUITE 300, MILWAUKEE, WI 53211(414) 298-7230(414) 298-7231 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lori A Nelson Apnp NPPES

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

LORI A NELSON APNP (NPI 1124058912) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (1694) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Sauk Prairie Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1124058912
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLORI A NELSONCredential: APNP
Location Address2350 N LAKE DR, SUITE 300Milwaukee, WI 53211-4528
Mailing Address4425 N Port Washington Rd, Attn: Csmcp Clinic CredentialingGlendale, WI 53212-1082 · (414) 298-7230 · Fax (414) 298-7231
Phone(414) 298-7230
Fax(414) 298-7231
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 31, 2021
NPPES CertifiedMarch 31, 2021
✔ NPI 1124058912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 1694
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.
2350 N LAKE DR, Milwaukee, WI 53211
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Other Identifiers 1

Medicaid39806000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, Group Health Cooperative-SCW, Quartz.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

Lori A Nelson Apnp 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 ID8022042126
PECOS Enrollment IDI20050919000626
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 2

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
72 services72 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.
64 services59 patients

Hospital Affiliations CMS Care Compare

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

Sauk Prairie Hospital

Acute Care Hospitals · Prairie Du Sac, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520095
Location260 26th StreetPrairie Du Sac, WI 53578 · Sauk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53211 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.

IRINA KOSTOVA DIMITROVA M.D.
Obstetrics & Gynecology
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1949
COLUMBIA ST. MARY'S HOSPITAL MILWAUKEE, INC
Clinic/Center (Multi-Specialty)
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 585-1000
DR. LYLE GENE HENRY MD
Surgery
2350 N LAKE DR, SUITE 304
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7220
KELLY A ISHERWOOD PA-C
Physician Assistant
2350 N LAKE DR, SUITE 206
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7280
MICHAEL E KEEFE MD
Internal Medicine (Hematology & Oncology)
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
MRS. AUDRA LYNN FELKER NP-C
Nurse Practitioner (Family)
2350 N LAKE DR, SUITE 400
MILWAUKEE, WI 53211
Milwaukee County (414) 271-1633
CATHERINE BARES APNP
Nurse Practitioner
2350 N LAKE DR, SUITE 100
MILWAUKEE, WI 53211
Milwaukee County (414) 298-7250
RACHEL TORGERSON KOEBEL PT, MPT, GCS
Physical Therapist
2350 N LAKE DR
MILWAUKEE, WI 53211
Milwaukee County (414) 296-2554

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 Lori Nelson's NPI number?

The NPI number for Lori Nelson is 1124058912. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Lori Nelson located?

Lori Nelson practices at 2350 N Lake Dr Suite 300, Milwaukee, WI 53211. The listed phone number is (414) 298-7230.

What is Lori Nelson's specialty?

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

Is Lori Nelson enrolled in Medicare?

Yes. Lori Nelson 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 Lori Nelson accept?

Health plans from Aspirus Health Plan, Group Health Cooperative-SCW and Quartz list Lori Nelson 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 Lori Nelson affiliated with any hospitals?

According to CMS data, Lori Nelson is affiliated with Sauk Prairie Hospital.

When was this NPI record last updated?

The NPPES record for Lori Nelson was last updated on March 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.