Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lisa R Thiltgen, APRN

Individual provider Family Nurse Practitioner · NPI 1609455591

Lisa R Thiltgen, APRN is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2020, 6 years ago. Practices with Emergency Medicine Specialists SC, a 220-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.

Years since qualifying
6
Licensed in
IL, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2575 E Evergreen Dr
Appleton, WI 54913-8910
Phone: (920) 404-2240
Fax: (920) 404-2229
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3329 N Richmond St, Appleton, WI 54911-1063 — (920) 380-2715

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11786-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209022574 (IL)

Record details

NPI number1609455591
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESAugust 28, 2025
Certification dateAugust 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Emergency Medicine Specialists Sc — 220 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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