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JENNIFER A LAVIA APNP
NPI 1871797977
Clinical Nurse Specialist in Neenah, WI

Active since June 13, 2007PECOS EnrolledAccepts Medicare Assignment
130 2ND ST, NEENAH, WI 54956(920) 729-2738(920) 729-3021 Get Directions Write a Review

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

About Jennifer A Lavia Apnp NPPES

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

JENNIFER A LAVIA APNP (NPI 1871797977) is an individual clinical nurse specialist in Neenah, Wisconsin, licensed in Wisconsin (152277) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Thedacare Regional Med Ctr - Neenah, and is a graduate of University Of Minnesota Medical School (2003).

NPPES Registry Identity

NPI1871797977
Entity TypeIndividualFemale
Primary Taxonomy364S00000X
Provider Legal NameJENNIFER A LAVIACredential: APNP
Location Address130 2ND STNeenah, WI 54956-2883
Mailing AddressPo Box 8003Appleton, WI 54912-8003 · (920) 996-3200 · Fax (920) 738-5787
Phone(920) 729-2738
Fax(920) 729-3021
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2003
Enumeration DateJune 13, 2007
Last NPPES UpdateAugust 16, 2012
✔ NPI 1871797977 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364S00000X
License✔ Licensed in WI · 152277
Definition
A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration.
Also ListedNurse PractitionerTaxonomy 363L00000X · License 3111 (WI)
130 2ND ST, Neenah, WI 54956
Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer A Raj

Other Identifiers 1

Other711290026WI · Medicare Ptan

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Network Health.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

Jennifer A Lavia 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 ID4486755451
PECOS Enrollment IDI20070720000083
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 5

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.

Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
112 services93 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services48 patients
Advance care planning, each additional 30 minutes 99498
Advance care planning involves discussing and documenting your future health care preferences in case you're unable to make decisions for yourself. Each additional 30 minutes allows more time to explore your wishes, values, and goals for treatment.
46 services45 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
16 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520045
Location130 2nd StNeenah, WI 54956 · Winnebago County
Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520160
Location1818 N Meade StAppleton, WI 54911 · Outagamie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54956 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 20

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

JENNIFER MARIE KETTERHAGEN PHARMD
Pharmacist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-5080
JAMES P MANDERLE MD
Nurse Anesthetist, Certified Registered
130 2ND ST, STE. A107
NEENAH, WI 54956
Winnebago County (920) 729-3332
ALLISON A HOELZEL OT
Occupational Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2616
ELIZABETH BONSON PT
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-2155
SARAH M MARTIN
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 454-2973
JUSTIN EISBERNER
Nurse Anesthetist, Certified Registered
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100
DR. ERIK VERHAGE MD
Pediatrics (Neonatal-Perinatal Medicine)
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 969-7900
ALYSSA ANN ROTZENBERG
Physical Therapist
130 2ND ST
NEENAH, WI 54956
Winnebago County (920) 729-3100

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 Jennifer Lavia's NPI number?

The NPI number for Jennifer Lavia is 1871797977. It was assigned to this individual provider in the NPPES registry on June 13, 2007. The provider is also known as Jennifer A Raj.

Where is Jennifer Lavia located?

Jennifer Lavia practices at 130 2nd St, Neenah, WI 54956. The listed phone number is (920) 729-2738.

What is Jennifer Lavia's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist with taxonomy code 364S00000X.

Is Jennifer Lavia enrolled in Medicare?

Yes. Jennifer Lavia 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 Jennifer Lavia accept?

Health plans from CareSource (Common Ground Healthcare) and Network Health list Jennifer Lavia 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 Jennifer Lavia affiliated with any hospitals?

According to CMS data, Jennifer Lavia is affiliated with Thedacare Regional Med Ctr - Neenah and Thedacare Regional Medical Center - Appleton Inc.

When was this NPI record last updated?

The NPPES record for Jennifer Lavia was last updated on August 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.