KRISTIN M LAVENHAGEN (PA-C) – Physician Assistant, NPI 1154635860
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for KRISTIN M LAVENHAGEN (PA-C)
100 15TH AVENUE
LAKESHORE MEDICAL CLINIC
SOUTH MILWAUKEE, WI 531721160
Phone: (414) 768-5430
Fax: (414) 762-4225
Type: Mailing
331 E PUETZ RD
LAKESHORE MEDICAL CLINIC
OAK CREEK, WI 531543253
Phone: (414) 570-3590
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-10-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101012001269 | I | Physician Assistant | WI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 98 | 44 | $0 |
Insurance plans in this area (ZIP 53172)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | WI | 81002 | Urinalysis, manual test | 13 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Internal Medicine | WI | |
| Nurse Practitioner | WI | |
| Physician Assistant | WI | |
| - | FL | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI |
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