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LAUREN M PROKES APNP
NPI 1558097071
Nurse Practitioner - Family in Green Bay, WI

Active since July 27, 2022PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1821 S WEBSTER AVE, GREEN BAY, WI 54301(920) 272-3350 Get Directions Write a Review

NPPES record last updated: September 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 28, 2022, Jul 27, 2022 (2 updates tracked since 2022).

About Lauren M Prokes Apnp NPPES

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

LAUREN M PROKES APNP (NPI 1558097071) is an individual family provider in Green Bay, Wisconsin, licensed in Wisconsin (12102-33) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558097071
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN M PROKESCredential: APNP
Location Address1821 S WEBSTER AVEGreen Bay, WI 54301-2253
Mailing Address1821 S Webster AveGreen Bay, WI 54301-2253 · (920) 272-3350
Phone(920) 272-3350
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 27, 2022
Last NPPES UpdateSeptember 28, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2022
✔ NPI 1558097071 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 · 12102-33
1821 S WEBSTER AVE, Green Bay, WI 54301
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, Security Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren M Prokes Apnp 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 ID8123403052
PECOS Enrollment IDI20220913003811
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.

Areas of Expertise CMS Part B claims 2

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 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.
93 services86 patients
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.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54301 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

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.

IRMA CATHERINE SMET PHD
Psychologist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
SERENA ASHOUR APNP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KATHLEEN MARIE BARKOW MD
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
GEORGE E WHETMORE DO
Pediatrics
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
LAUREN M RESCH NP
Nurse Practitioner
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
DR. ESRA SIDDEEK DO
Neuromusculoskeletal Medicine & OMM
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
KELSEY SMITH DPT
Physical Therapist
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700
CARRIE ANN THOMS MD
Surgery
1821 S WEBSTER AVE
GREEN BAY, WI 54301
Brown County (920) 496-4700

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 Prokes's NPI number?

The NPI number for Lauren Prokes is 1558097071. It was assigned to this individual provider in the NPPES registry on July 27, 2022.

Where is Lauren Prokes located?

Lauren Prokes practices at 1821 S Webster Ave, Green Bay, WI 54301. The listed phone number is (920) 272-3350.

What is Lauren Prokes's specialty?

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

Is Lauren Prokes enrolled in Medicare?

Yes. Lauren Prokes 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.

What insurance does Lauren Prokes accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and Security Health Plan list Lauren Prokes 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 Prokes affiliated with any hospitals?

According to CMS data, Lauren Prokes is affiliated with St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Prokes was last updated on September 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.