LAUREN WISEMAN APRN
NPI 1952061103
Nurse Practitioner - Family in East Peoria, IL
About Lauren Wiseman Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN WISEMAN APRN (NPI 1952061103) is an individual family provider in East Peoria, Illinois, licensed in Illinois (209023234) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lauren Wiseman Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Lauren Wiseman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61605
- Reassigned Medicare billing, Illinois enrollment
- 2,127 clinicians in this Medicare group
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61611 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wiseman's NPI number?
The NPI number for Lauren Wiseman is 1952061103. It was assigned to this individual provider in the NPPES registry on December 28, 2021.
Where is Lauren Wiseman located?
Lauren Wiseman practices at 133 Spinder Dr, East Peoria, IL 61611. The listed phone number is (309) 308-5100.
What is Lauren Wiseman's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Lauren Wiseman enrolled in Medicare?
Yes. Lauren Wiseman is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lauren Wiseman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Wiseman reassigns Medicare benefits to 2 organizations: Board Of Trustees Of The University Of Illinois (Peoria, IL) and Osf Multi-Specialty Group (Peoria, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Wiseman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lauren Wiseman was last updated on August 22, 2023. 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.
# Lauren Wiseman, APRN · NPI 1952061103
Family physician in East Peoria, Illinois. Individual provider, active in the CMS NPPES registry since December 28, 2021.
## Identity
- **NPI:** 1952061103 (Entity type: Individual)
- **Enumerated:** December 28, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209023234 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 133 SPINDER DR, East Peoria, IL 61611-0016
- **Phone:** (309) 308-5100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Board Of Trustees Of The University Of Illinois (NPI 1467425322, Peoria, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952061103) · Data from the CMS NPPES public registry.