INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC
NPI 1497419956
Nurse Practitioner - Family in Lake Mills, WI

Active since October 29, 2021
125 E PINE ST STE C, LAKE MILLS, WI 53551(920) 648-5271(920) 648-4365 Get Directions Write a Review

NPPES record last updated: October 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Integrative Medical Solutions Of Lake Mills Llc NPPES

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

INTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC (NPI 1497419956) is a healthcare organization registered as a family in Lake Mills, Wisconsin and active in the NPI registry since October 2021. The organization lists Nicole Lee Berg-johnson, Adv Practice Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1497419956
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTEGRATIVE MEDICAL SOLUTIONS OF LAKE MILLS LLC
Location Address125 E PINE ST STE CLake Mills, WI 53551-1103
Mailing Address125 E Pine St Ste CLake Mills, WI 53551-1103 · (920) 648-5271 · Fax (920) 648-4365
Fax(920) 648-4365
Organization SubpartNo
Authorized OfficialNicole Lee Berg-johnsonAdv Practice Nurse Practitioner · (262) 510-7412
Enumeration DateOctober 29, 2021
NPPES CertifiedOctober 29, 2021
NPI 1497419956 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
125 E PINE ST STE C, Lake Mills, WI 53551

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
125 E PINE ST STE C
LAKE MILLS, WI 53551

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 Integrative Medical Solutions Of Lake Mills LLC's NPI number?

The NPI number for Integrative Medical Solutions Of Lake Mills LLC is 1497419956. It was assigned to this organization in the NPPES registry on October 29, 2021.

Where is Integrative Medical Solutions Of Lake Mills LLC located?

Integrative Medical Solutions Of Lake Mills LLC is located at 125 E Pine St Ste C, Lake Mills, WI 53551. The listed phone number is (920) 648-5271.

What is Integrative Medical Solutions Of Lake Mills LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrative Medical Solutions Of Lake Mills LLC was last updated on October 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.