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MS. LISA LAUREN ANTLE APRN/BC/APNP
NPI 1629260716
Clinical Nurse Specialist - Gerontology in Shorewood, WI

Active since August 13, 2007PECOS Enrolled
3915 N RIDGEFIELD CIR, SHOREWOOD, WI 53211(414) 467-4162(414) 906-1758 Get Directions Write a Review

NPPES record last updated: August 13, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Lauren Antle Aprn/bc/apnp NPPES

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

MS. LISA LAUREN ANTLE APRN/BC/APNP (NPI 1629260716) is an individual gerontology provider in Shorewood, Wisconsin, licensed in Wisconsin (2531-033) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629260716
Entity TypeIndividualFemale
Primary Taxonomy364SG0600X
Provider Legal NameMS. LISA LAUREN ANTLECredential: APRN/BC/APNP
Location Address3915 N RIDGEFIELD CIRShorewood, WI 53211-2451
Mailing Address3915 N Ridgefield CirShorewood, WI 53211-2451 · (414) 467-4162 · Fax (414) 906-1758
Phone(414) 467-4162
Fax(414) 906-1758
Sole ProprietorYes
Enumeration DateAugust 13, 2007
✔ NPI 1629260716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SG0600X
License✔ Licensed in WI · 2531-033
3915 N RIDGEFIELD CIR, Shorewood, WI 53211
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINP32219MO

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Lisa Lauren Antle Aprn/bc/apnp 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 53211 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
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.

IN-YOUR-HOME MEDICINE & GERIATRICS
Internal Medicine (Geriatric Medicine)
3915 N RIDGEFIELD CIR
SHOREWOOD, WI 53211
Milwaukee County (414) 795-6480

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 Antle's NPI number?

The NPI number for Lisa Antle is 1629260716. It was assigned to this individual provider in the NPPES registry on August 13, 2007.

Where is Lisa Antle located?

Lisa Antle practices at 3915 N Ridgefield Cir, Shorewood, WI 53211. The listed phone number is (414) 467-4162.

What is Lisa Antle's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Gerontology, with taxonomy code 364SG0600X.

Is Lisa Antle enrolled in Medicare?

Yes. Lisa Antle is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Antle was last updated on August 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.