LAUREN WISEMAN APRN
NPI 1952061103
Nurse Practitioner - Family in East Peoria, IL

Q: 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.

Q: What is Lauren Wiseman's specialty?

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

Q: 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 2 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.

Active since December 28, 2021PECOS Enrolled

133 SPINDER DR, EAST PEORIA, IL 61611(309) 308-5100 Get Directions Write a Review

NPPES record last updated: August 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 22, 2023, Jan 1, 2022 (2 updates tracked since 2022).

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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

NPI1952061103

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAUREN WISEMANCredential: APRN

Location Address133 SPINDER DREast Peoria, IL 61611-0016

Mailing Address133 Spinder DrEast Peoria, IL 61611-0016 · (309) 308-5100

Phone(309) 308-5100

Sole ProprietorNo

Enumeration DateDecember 28, 2021

Last NPPES UpdateAugust 22, 20232 updates tracked since enumeration

NPPES CertifiedAugust 22, 2023

✔ NPI 1952061103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209023234

133 SPINDER DR, East Peoria, IL 61611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren Wiseman Aprn 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 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.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 10

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

DELANIE LYNN FLETCHER APRN

Nurse Practitioner (Family)