DR. LISA CLAIRE BIGELOW-DOWNING DNP, MSL, BSN, APNP
NPI 1366313033
Nurse Practitioner - Family in Kenosha, WI

Active since September 16, 2025PECOS Enrolled
3520 30TH AVE, KENOSHA, WI 53144(262) 687-7030(262) 564-2207 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2026, Sep 16, 2025 (2 updates tracked since 2025).

About Dr. Lisa Claire Bigelow-downing Dnp, Msl, Bsn, Apnp NPPES

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

DR. LISA CLAIRE BIGELOW-DOWNING DNP, MSL, BSN, APNP (NPI 1366313033) is an individual family provider in Kenosha, Wisconsin, licensed in Wisconsin (17192-33) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1366313033
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. LISA CLAIRE BIGELOW-DOWNINGCredential: DNP, MSL, BSN, APNP
Location Address3520 30TH AVEKenosha, WI 53144-1619
Mailing Address3520 30th AveKenosha, WI 53144-1619 · (262) 687-7030 · Fax (262) 564-2207
Fax(262) 564-2207
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 16, 2025
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1366313033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 17192-33
3520 30TH AVE, Kenosha, WI 53144

Other Identifiers 1

Medicaid100388665WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Claire Bigelow-downing Dnp, Msl, Bsn, Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234622291
PECOS Enrollment IDI20251208001331
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Bigelow-downing reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Practitioner
11270 N PORT WASHINGTON RD
Mequon, WI 53092
  • Reassigned Medicare billing, Wisconsin enrollment
  • 21 clinicians in this Medicare group
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Wisconsin enrollment
  • 303 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53144 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

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
3520 30TH AVE
KENOSHA, WI 53144

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 Lisa Bigelow-downing's NPI number?

The NPI number for Lisa Bigelow-downing is 1366313033. It was assigned to this individual provider in the NPPES registry on September 16, 2025.

Where is Lisa Bigelow-downing located?

Lisa Bigelow-downing practices at 3520 30th Ave, Kenosha, WI 53144. The listed phone number is (262) 687-7030.

What is Lisa Bigelow-downing's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lisa Bigelow-downing enrolled in Medicare?

Yes. Lisa Bigelow-downing is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Bigelow-downing's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Bigelow-downing reassigns Medicare benefits to 2 organizations: Aurora Quick Care, LLC (Mequon, WI) and Signify Health Medical Associates, PLLC (Dallas, TX). Each 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 Lisa Bigelow-downing's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Bigelow-downing accept?

Health plans from CareSource (Common Ground Healthcare) list Lisa Bigelow-downing 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 Lisa Bigelow-downing was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.