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LORI ELLA WYSONG CPNP-PC
NPI 1881046324
Nurse Practitioner - Pediatrics in Kenosha, WI

Active since July 08, 2016PECOS Enrolled
80.46/100
CMS Quality Rating
10400 75TH ST STE 301, KENOSHA, WI 53142(262) 948-6798 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 6, 2026, Jul 2, 2025, Dec 11, 2023 and 1 more (4 updates tracked since 2019).

About Lori Ella Wysong Cpnp-pc NPPES

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

LORI ELLA WYSONG CPNP-PC (NPI 1881046324) is an individual pediatrics provider in Kenosha, Wisconsin, licensed in Illinois (209028816) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Waukegan.

NPPES Registry Identity

NPI1881046324
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLORI ELLA WYSONGCredential: CPNP-PC
Location Address10400 75TH ST STE 301Kenosha, WI 53142-7884
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(262) 948-6798
Sole ProprietorNo
Enumeration DateJuly 8, 2016
Last NPPES UpdateJanuary 6, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1881046324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in IL · 209028816✔ Licensed in IL · 309021005✔ Licensed in WI · 7027
10400 75TH ST STE 301, Kenosha, WI 53142
Open in Google Maps ↗

Secondary Practice Location 1

Location 13010 Grand AveWaukegan, IL 60085-2321 · Phone (847) 377-8000

Other Identifiers 3

Medicaid1881046324WI
Medicaid1881046324IL
Medicaid100058512WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lori Ella Wysong Cpnp-pc 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 53142 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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

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 Lori Wysong's NPI number?

The NPI number for Lori Wysong is 1881046324. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Lori Wysong located?

Lori Wysong practices at 10400 75th St Ste 301, Kenosha, WI 53142. The listed phone number is (262) 948-6798.

What is Lori Wysong's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Lori Wysong enrolled in Medicare?

Yes. Lori Wysong is registered in the Medicare PECOS enrollment system.

What insurance does Lori Wysong accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource (Common Ground Healthcare) list Lori Wysong 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.

When was this NPI record last updated?

The NPPES record for Lori Wysong was last updated on January 6, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.