LISA ANTLE, APRN/BC/APNP

Gerontology Clinical Nurse Specialist · SHOREWOOD, WI

Individual Active NPI 1629260716

Medicare payment data Part B · 2024

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2024	15	46	$8,218	$4,635	$3,693

Taxonomy & licensure

Specialty	Code	Primary	License	State
Gerontology Clinical Nurse Specialist	364SG0600X	✓	—	WI
Gerontology Clinical Nurse Specialist	364SG0600X		2531-033	WI

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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See all Gerontology Clinical Nurse Specialist providers in Wisconsin →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.