DR. MARY LISA LANDWEHR (MD) – Family Medicine Physician, NPI 1386647246

DR. MARY LISA LANDWEHR (MD) is a healthcare provider. based in Chippewa falls, Wisconsin. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 45925 (WI). The NPI Number for DR. MARY LISA LANDWEHR (MD) is 1386647246

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARY LISA LANDWEHR (MD)
NPI
1386647246
Phone
(715) 726-3096
Address
2829 COUNTY HIGHWAY I
Enumeration Date
24 May 2005
Last Update Date
6 May 2011

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7157263096
Graduation Year
1999 (27 years ago)
PAC ID
1658275805
Professional Enrollment ID
I20031120000562
Address ID
WI547292678CH2829XIXXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

3,050 FAMILY PRACTICE in WI

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Provider Addresses for DR. MARY LISA LANDWEHR (MD)

  • High Bridge Coffee, 2829, County Highway I, Norma, Chippewa Falls, Chippewa County, Wisconsin, 54729, United States

    SUITE 2

    CHIPPEWA FALLS, WI 547294410

    Phone: (715) 726-3096

    Fax: (715) 726-3979

    Mailing address matches the actual address.

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: 2003-11-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031120000562IFamily PracticeWITBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month966104$0
99214Established patient office or other outpatient visit, 30-39 minutes390107$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month30680$0
99215Established patient office or other outpatient visit, 40-54 minutes29475$0
36415Insertion of needle into vein for collection of blood sample18894$0
View full utilization report →

Insurance plans in this area (ZIP 54729)

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Reviews

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Frequently asked questions

Is there an official ID for DR. MARY LISA LANDWEHR (MD) in U.S. healthcare records?
The official identifier for DR. MARY LISA LANDWEHR (MD) is NPI 1386647246.
Is there an active status for DR. MARY LISA LANDWEHR (MD)?
For scheduling context, DR. MARY LISA LANDWEHR (MD) is shown as active in the registry.
What clinical focus is listed for DR. MARY LISA LANDWEHR (MD)?
At a glance, DR. MARY LISA LANDWEHR (MD) is tied to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is DR. MARY LISA LANDWEHR (MD) associated with Chippewa Falls?
Public fields place DR. MARY LISA LANDWEHR (MD) around Chippewa Falls, Wisconsin. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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