MICHAEL LAWRENCE (PA) – Physician Assistant, NPI 1992790505

MICHAEL LAWRENCE (PA) is a healthcare provider. based in Wild rose, Wisconsin. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1174-023 (WI). The NPI Number for MICHAEL LAWRENCE (PA) is 1992790505

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL LAWRENCE (PA)
NPI
1992790505
Phone
(920) 622-3257
Address
PO BOX 243
Enumeration Date
20 September 2005
Last Update Date
23 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4144472000
Graduation Year
2017 (9 years ago)
PAC ID
9335137389
Group Practice PAC ID
8729975461
Professional Enrollment ID
I20040506000338
Address ID
WI532101650MI5000XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

3,672 PHYSICIAN ASSISTANT in WI

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Provider Addresses for MICHAEL LAWRENCE (PA)

  • PO BOX 243

    WILD ROSE, WI 549840243

    Phone: (920) 622-3257

    Type: Mailing

  • ThedaCare Medical Center-Wild Rose, 601, Grove Avenue, Wild Rose, Waushara County, Wisconsin, 54984, United States

    WILD ROSE, WI 549846903

    Phone: (920) 622-3257

    Type: Location

  • S66W22285 NATIONAL AVE

    WAUKESHA, WI 531899660

    Phone: (414) 238-3859

    Type: Mailing

  • 2301 N LAKE DR

    MILWAUKEE, WI 532114508

    Phone: (414) 585-1000

    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: 2004-05-06

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
I20040506000338IPhysician AssistantWITBD

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
99284Emergency department visit with moderate level of medical decision making3633$0
99285Emergency department visit with high level of medical decision making3534$0
99204New patient office or other outpatient visit, 45-59 minutes2222$0
99283Emergency department visit with low level of medical decision making1716$0
99214Established patient office or other outpatient visit, 30-39 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 54984)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729975461View full group profile
NameSpecialtyState
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineWI
-WA
Emergency MedicineWI
Emergency MedicineWI
Physician AssistantWI
Emergency MedicineMN
-WI
Physician AssistantWI

Reviews

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Frequently asked questions

What is the 10-digit NPI for MICHAEL LAWRENCE (PA)?
MICHAEL LAWRENCE (PA) — NPI 1992790505 — is the standard way to identify this listing.
Is MICHAEL LAWRENCE (PA) still practicing?
MICHAEL LAWRENCE (PA) is currently listed as active in the public NPI registry.
What is MICHAEL LAWRENCE (PA)'s primary classification?
Physician Assistant is the headline specialty for MICHAEL LAWRENCE (PA) here. Clinical services aligned with this taxonomy classification.
What area does MICHAEL LAWRENCE (PA) serve?
MICHAEL LAWRENCE (PA)'s listing highlights Wild Rose, Wisconsin; more addresses can appear in NPPES.
Is the information about MICHAEL LAWRENCE (PA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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