COMMUNITY HEALTH PRIMARY CARE SERVICES LLC
NPI 1255952149
Nurse Practitioner - Family in Milwaukee, WI
About Community Health Primary Care Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COMMUNITY HEALTH PRIMARY CARE SERVICES LLC (NPI 1255952149) is a healthcare organization registered as a family in Milwaukee, Wisconsin and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through March 7, 2027 and lists Clarissa M Lawrence, Owner/family Nurse Practitioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Community Health Primary Care Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Community Health Primary Care Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 52D2215868
Community Health Primary Care Services, LLC · Milwaukee, WIFrequently 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 Clarissa Marie Lawrence's NPI number?
The NPI number for Clarissa Marie Lawrence is 1255952149. It was assigned to this organization in the NPPES registry on May 1, 2020. The provider is doing business as Community Health Primary Care Services LLC.
Where is Clarissa Marie Lawrence located?
Clarissa Marie Lawrence is located at 7929 N 76th St, Milwaukee, WI 53223. The listed phone number is (414) 554-9774.
What is Clarissa Marie Lawrence's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Clarissa Marie Lawrence enrolled in Medicare?
Yes. Clarissa Marie Lawrence is registered in the Medicare PECOS enrollment system.
When is Clarissa Marie Lawrence's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Wisconsin, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Clarissa Marie Lawrence?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clarissa Marie Lawrence. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Clarissa Marie Lawrence hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 52D2215868) is associated with this NPI, valid through March 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Clarissa Marie Lawrence was last updated on December 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.
# Community Health Primary Care Services Llc · NPI 1255952149
Family organization in Milwaukee, Wisconsin. Organization record, active in the CMS NPPES registry since May 1, 2020.
## Identity
- **NPI:** 1255952149 (Entity type: Organization)
- **Enumerated:** May 1, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Clarissa Marie Lawrence
- **Organization subpart:** No
- **Authorized official:** Clarissa Lawrence, OWNER/FAMILY NURSE PRACTITIONER
## Practice location
- **Address:** 7929 N 76TH ST, Milwaukee, WI 53223-3947
- **Phone:** (414) 554-9774 · **Fax:** (414) 979-0325
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Wisconsin, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 16, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255952149) · Data from the CMS NPPES public registry.