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LAUREN MARIKA FLEWELEN MD
NPI 1497989545
Family Medicine in Waukesha, WI

Active since May 04, 2009PECOS EnrolledAccepts Medicare Assignment
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC., WAUKESHA, WI 53189(262) 928-7555(262) 513-7575 Get Directions Write a Review

NPPES record last updated: July 16, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lauren Marika Flewelen Md NPPES

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

LAUREN MARIKA FLEWELEN MD (NPI 1497989545) is an individual family medicine provider in Waukesha, Wisconsin, licensed in Wisconsin (56095) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Texoma Medical Center, and is a graduate of Medical College Of Wisconsin (2009).

NPPES Registry Identity

NPI1497989545
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameLAUREN MARIKA FLEWELENCredential: MD
Location Address2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.Waukesha, WI 53189-7624
Mailing Address2130 Big Bend Rd, Prohealth Care Medical Associates Inc.Waukesha, WI 53189-7624 · (262) 928-7555 · Fax (262) 513-7575
Phone(262) 928-7555
Fax(262) 513-7575
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2009
Enumeration DateMay 4, 2009
Last NPPES UpdateJuly 16, 2012
✔ NPI 1497989545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 56095
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2130 BIG BEND RD, Waukesha, WI 53189
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Other Identifiers 1

Medicare PIN68375

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Marika Flewelen Md 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 ID6204083421
PECOS Enrollment IDI20211101002823
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

6

Medicare enrollment records show Lauren Flewelen reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Prairie Ridge Health, Inc.
45 mi
Primary Care
301 W MAIN ST
Marshall, WI 53559
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1841376183 (Wisconsin)
  • 115 clinicians in this Medicare group
NPI 1477005544 (920) 623-2200
Hospitalist Medicine Physicians Of Texas - Burnet PLLC
783 mi
Hospitalist
5016 S US HIGHWAY 75
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 112 clinicians in this Medicare group
NPI 1265275887 (833) 507-7992
Texomacare Specialty Physicians
783 mi
Cardiovascular Disease
5012 S US HIGHWAY 75, SUITE 100
Denison, TX 75020
  • Reassigned Medicare billing, Texas enrollment
  • 40 clinicians in this Medicare group
NPI 1548541733 (903) 416-1726
Grayson County Health Clinic
786 mi
Primary Care
809 GALLAGHER DR STE D
Sherman, TX 75090
  • Reassigned Medicare billing, Texas enrollment
  • 19 clinicians in this Medicare group
NPI 1891122198 (903) 771-2846
Primary Health Physicians, PLLC
829 mi
Urgent Care
2310 W UNIVERSITY DR
Denton, TX 76201
  • Reassigned Medicare billing, Texas enrollment
  • 228 clinicians in this Medicare group
NPI 1770048704 (940) 220-5901
Arctic Slope Native Association Ltd
2,977 mi
Critical Access
7000 UULA STREET
Barrow, AK 99723
  • Reassigned Medicare billing, Alaska enrollment
  • 118 clinicians in this Medicare group
NPI 1306933643 (907) 852-9201

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

Areas of Expertise CMS Part B claims 3

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.
25 services18 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
21 services19 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.
17 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53189 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.

THOMAS J. SHEEDY M.D.
Pediatrics (Adolescent Medicine)
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Waukesha County (262) 928-7555
DR. KATHLEEN A BRASS M.D., PHD
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES
WAUKESHA, WI 53189
Waukesha County (262) 928-7555
KAYDE IRENE FERKIN MPAS, PA-C
Physician Assistant
2130 BIG BEND RD
WAUKESHA, WI 53189
Waukesha County (262) 513-7555
SHERRY JOANNE MEURER PT
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Waukesha County (262) 928-5137
TRACY M. LEWIS M.D.
Family Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Waukesha County (262) 928-7555
REYHAN DEMIRCIOGLU MD
Internal Medicine
2130 BIG BEND RD, PROHEALTH CARE MEDICAL ASSOCIATES INC.
WAUKESHA, WI 53189
Waukesha County (262) 928-7555
PROHEALTH CARE INC
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Waukesha County (262) 928-7580
DR. CALEB WALK DPT
Physical Therapist
2130 BIG BEND RD
WAUKESHA, WI 53189
Waukesha County (262) 928-7583

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 Lauren Flewelen's NPI number?

The NPI number for Lauren Flewelen is 1497989545. It was assigned to this individual provider in the NPPES registry on May 4, 2009.

Where is Lauren Flewelen located?

Lauren Flewelen practices at 2130 Big Bend Rd Prohealth Care Medical Associates Inc., Waukesha, WI 53189. The listed phone number is (262) 928-7555.

What is Lauren Flewelen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lauren Flewelen enrolled in Medicare?

Yes. Lauren Flewelen 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.

Which organizations bill Medicare for Lauren Flewelen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Flewelen reassigns Medicare benefits to 6 organizations: Prairie Ridge Health, Inc. (Marshall, WI), Hospitalist Medicine Physicians Of Texas - Burnet PLLC (Denison, TX), Texomacare Specialty Physicians (Denison, TX), Grayson County Health Clinic (Sherman, TX), Primary Health Physicians, PLLC (Denton, TX) and 1 more organization, listed in the Medicare section above. 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 Lauren Flewelen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Flewelen accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Lauren Flewelen 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.

Is Lauren Flewelen affiliated with any hospitals?

According to CMS data, Lauren Flewelen is affiliated with Texoma Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Flewelen was last updated on July 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.