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LISA M GROTHE APNP
NPI 1790345106
Nurse Practitioner - Family in Appleton, WI

Active since June 18, 2019PECOS Enrolled
1818 N MEADE ST, APPLETON, WI 54911(920) 731-8900(920) 225-1414 Get Directions Write a Review

NPPES record last updated: September 30, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Sep 30, 2019, Jun 18, 2019 (2 updates tracked since 2019).

About Lisa M Grothe Apnp NPPES

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

LISA M GROTHE APNP (NPI 1790345106) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (9650) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1790345106
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLISA M GROTHECredential: APNP
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address122 E College AveAppleton, WI 54911-5794 · (920) 996-3264 · Fax (920) 830-5970
Phone(920) 731-8900
Fax(920) 225-1414
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateSeptember 30, 20192 updates tracked since enumeration
✔ NPI 1790345106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 9650
Also ListedRegistered NurseTaxonomy 163W00000X · License 186139 (WI)
1818 N MEADE ST, Appleton, WI 54911
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Other Names 1

Former Name (1)Lisa M Luepke

Secondary Practice Locations 6

Location 1100 County Road BShawano, WI 54166-7072 · Phone (920) 731-8900 · Fax (920) 225-1414
Location 21405 Mill StNew London, WI 54961-2155 · Phone (920) 731-8900 · Fax (920) 225-1414
Location 3601 Grove AveWild Rose, WI 54984-6903 · Phone (920) 622-3257 · Fax (920) 738-5369
Location 4225 Memorial DrBerlin, WI 54923-1243 · Phone (920) 361-1313 · Fax (920) 738-5369
Location 5200 Theda Medical Plaza, Suite 320Neenah, WI 54956-2790 · Phone (920) 722-3341 · Fax (920) 729-2119
Location 6800 Riverside DrWaupaca, WI 54981-1943 · Phone (715) 258-1000 · Fax (920) 738-5369

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa M Grothe 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 54911 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.

MRS. THERESA ANN HAGMAN PTA
Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
HANNA ROSE SIPPEL PA
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
ANN M HEFTER AGACNP-BC, MSN, BSN
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
DESSIA J LAXTON APNP
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-8900
MISS AMBER LYNN NEVALA CST
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (906) 280-5495
DAVID MICHAEL DENELL MPT LAT/C
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101
PHILIP ANTHONY VOGT MD
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Outagamie County (920) 731-8289
SYED TAIMUR ALI M.D.
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911
Outagamie County (920) 731-4101

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 Grothe's NPI number?

The NPI number for Lisa Grothe is 1790345106. It was assigned to this individual provider in the NPPES registry on June 18, 2019. The provider is also known as Lisa M Luepke.

Where is Lisa Grothe located?

Lisa Grothe practices at 1818 N Meade St, Appleton, WI 54911. The listed phone number is (920) 731-8900.

What is Lisa Grothe's specialty?

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

Is Lisa Grothe enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Grothe was last updated on September 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.