LAUREN VANLOON PA
NPI 1215427950
Physician Assistant in Mequon, WI

Active since May 17, 2018PECOS EnrolledAccepts Medicare Assignment
6425 W MEQUON RD, MEQUON, WI 53092(262) 387-8200 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 12, 2026, Nov 30, 2021, Jun 9, 2020 and 1 more (4 updates tracked since 2018).

About Lauren Vanloon Pa NPPES

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

LAUREN VANLOON PA (NPI 1215427950) is an individual physician assistant in Mequon, Wisconsin, licensed in Wisconsin (5020) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1215427950
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN VANLOONCredential: PA
Location Address6425 W MEQUON RDMequon, WI 53092-1862
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 17, 2018
Last NPPES UpdateMay 12, 20264 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1215427950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in WI · 5020
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

6425 W MEQUON RD, Mequon, WI 53092

Secondary Practice Locations 2

Location 19831 S Western AveChicago, IL 60643-1740 · Phone (773) 445-3500
Location 23003 W Good Hope RdMilwaukee, WI 53209-2042 · Phone (414) 352-3100 · Fax (414) 351-7836

Other Identifiers 1

Medicaid100098986WI

Accepted 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

Lauren Vanloon Pa 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 ID2163775198
PECOS Enrollment IDI20200508000803
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.

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.
39 services39 patients
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.
21 services21 patients
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.
15 services15 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53092 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Clinical Medical Laboratory
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092
Nurse Practitioner
6425 W MEQUON RD
MEQUON, WI 53092
Physician Assistant
6425 W MEQUON RD
MEQUON, WI 53092
Nurse Practitioner
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092
Physician Assistant
6425 W MEQUON RD
MEQUON, WI 53092
Family Medicine
6425 W MEQUON RD
MEQUON, WI 53092

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 Vanloon's NPI number?

The NPI number for Lauren Vanloon is 1215427950. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Lauren Vanloon located?

Lauren Vanloon practices at 6425 W Mequon Rd, Mequon, WI 53092. The listed phone number is (262) 387-8200.

What is Lauren Vanloon's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Vanloon enrolled in Medicare?

Yes. Lauren Vanloon 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 Lauren Vanloon accept?

Health plans from CareSource (Common Ground Healthcare) and UnitedHealthcare list Lauren Vanloon 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 Vanloon was last updated on May 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.