LAUREN WISDOM
NPI 1477109668
Nurse Practitioner - Acute Care in Walnut Creek, CA

Q: What is Lauren Wisdom's NPI number?

The NPI number for Lauren Wisdom is 1477109668. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Q: What is Lauren Wisdom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Wisdom was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since August 13, 2019PECOS Enrolled

1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598(925) 947-5224(925) 947-3229 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2020, Aug 13, 2019 (2 updates tracked since 2019).

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About Lauren Wisdom NPPES

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

LAUREN WISDOM (NPI 1477109668) is an individual acute care provider in Walnut Creek, California, licensed in California (95010761) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Los Angeles.

NPPES Registry Identity

NPI1477109668

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameLAUREN WISDOM

Location Address1601 YGNACIO VALLEY RDWalnut Creek, CA 94598-3122

Mailing Address8700 Beverly BlvdWest Hollywood, CA 90048-1804 · (707) 529-6238 · Fax (310) 967-1773

Phone(925) 947-5224

Fax(925) 947-3229

Sole ProprietorNo

Enumeration DateAugust 13, 2019

Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1477109668 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 CA · 95010761

1601 YGNACIO VALLEY RD, Walnut Creek, CA 94598

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Secondary Practice Location 1

Location 18700 Beverly BlvdLos Angeles, CA 90048 · Phone (707) 529-6238

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Wisdom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94598 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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.

MALCOLM C JOHNSON MD

Emergency Medicine