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BILLIE A LAWLER APNP
NPI 1245253764
Nurse Practitioner - Acute Care in Mount Pleasant, WI

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
3803 SPRING ST, MOUNT PLEASANT, WI 53405(262) 687-6260(262) 687-3645 Get Directions Write a Review

NPPES record last updated: March 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Billie A Lawler Apnp NPPES

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

BILLIE A LAWLER APNP (NPI 1245253764) is an individual acute care provider in Mount Pleasant, Wisconsin, licensed in Wisconsin (1488) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1245253764
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBILLIE A LAWLERCredential: APNP
Location Address3803 SPRING STMount Pleasant, WI 53405-1660
Mailing Address3803 Spring StMount Pleasant, WI 53405-1660 · (262) 687-6260 · Fax (262) 687-3645
Phone(262) 687-6260
Fax(262) 687-3645
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJuly 25, 2006
Last NPPES UpdateMarch 24, 2016
✔ NPI 1245253764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in WI · 1488
3803 SPRING ST, Mount Pleasant, WI 53405
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP65968WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.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

Billie A Lawler 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 ID4385617653
PECOS Enrollment IDI20040816000358
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 5

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.
61 services48 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.
60 services52 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
16 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.
14 services14 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

ALEK ZAPATA PA-C
Physician Assistant
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
REBECCA EDWARDS
Physician Assistant
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
EKI DRAKE FNP
Nurse Practitioner (Adult Health)
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4011
JONATHAN RATHOD MD
Internal Medicine (Pulmonary Disease)
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-5236
HOWARD W. SHORT M.D.
Internal Medicine (Cardiovascular Disease)
3803 SPRING ST, SUITE 410
RACINE, WI 53405
Racine County (262) 687-8260
KATELYN CURTIS PA-C
Physician Assistant
3803 SPRING ST
RACINE, WI 53405
Racine County (262) 687-4011
STEVEN ARTHUR SPRING RPH
Pharmacist
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (262) 687-4308
GHAITH ALMHANNI MD
Student in an Organized Health Care Education/Training Program
3803 SPRING ST
MOUNT PLEASANT, WI 53405
Racine County (126) 268-7401

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 Billie Lawler's NPI number?

The NPI number for Billie Lawler is 1245253764. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Billie Lawler located?

Billie Lawler practices at 3803 Spring St, Mount Pleasant, WI 53405. The listed phone number is (262) 687-6260.

What is Billie Lawler's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Billie Lawler enrolled in Medicare?

Yes. Billie Lawler 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 Billie Lawler accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Billie Lawler 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 Billie Lawler was last updated on March 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.