MS. LORI S. G. VERSEMAN (P.A.C.) – Medical Physician Assistant, NPI 1699786806
Medical Physician Assistant
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NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for MS. LORI S. G. VERSEMAN (P.A.C.)
7974 UW HEALTH CT
MIDDLETON, WI 535625531
Phone:
Type: Mailing
451 JUNCTION RD
MADISON, WI 537172656
Phone: (608) 263-5010
Fax: (608) 265-7519
Type: Location
OSF Holy Family Medical Center, 1000, West Harlem Avenue, Monmouth, Warren County, Illinois, 61462, United States
MONMOUTH, IL 614621007
Phone: (309) 734-3141
Fax: (309) 734-2100
Type: Location
2697, Parkway Court, Galesburg, Knox County, Illinois, 61401, United States
GALESBURG, IL 614011181
Phone: (309) 343-6114
Type: Mailing
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: 2022-12-28
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 |
|---|---|---|---|---|
| I20221228000665 | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 224 | 194 | $0 |
| 95251 | Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 78 | 67 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 76 | 27 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 40 | 36 | $0 |
Insurance plans in this area (ZIP 53562)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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