MS. Lisa Lauren Antle, APRN/BC/APNP

Individual provider Gerontology Clinical Nurse Specialist · NPI 1629260716

MS. Lisa Lauren Antle, APRN/BC/APNP is a Gerontology Clinical Nurse Specialist in Shorewood, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in: WI
In the registry since: 2007
Specialties on file: 2

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Practice location Address checks out

3915 N Ridgefield Cir
Shorewood, WI 53211-2451 Not confirmed with CMS for 19 years — call before visiting
Phone: (414) 467-4162
Fax: (414) 906-1758

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Clinical Nurse Specialist (primary)	Taxonomy 364SG0600X (WI)
Gerontology Clinical Nurse Specialist	Taxonomy 364SG0600X · Licence 2531-033 (WI)

Record details

NPI number	1629260716
Entity type	Individual (Type 1)
Gender	Female
Credentials	APRN/BC/APNP
Sole proprietor	Yes
NPI enumerated	August 13, 2007
Last updated in NPPES	August 13, 2007

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients	15
Services billed	46 a service is one billed item, such as a visit, a test or a procedure
Average patient age	84

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.