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

Timothy S Lautenslager, APNP

Individual provider Family Nurse Practitioner · NPI 1982340626

Timothy S Lautenslager, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 5 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1630 Commanche Ave
Green Bay, WI 54313-5753
Phone: (920) 433-6000
Fax: (920) 430-4719
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 2015 Shawano Ave, Green Bay, WI 54303-2606 — (920) 592-9478
  • 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 — (920) 445-7377
  • 3263 Eaton Rd, Green Bay, WI 54311-6830 — (920) 433-6000
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 — (715) 735-5225

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12136-33 (WI)

Record details

NPI number1982340626
Entity typeIndividual (Type 1)
GenderMale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 6, 2022
Last updated in NPPESAugust 29, 2022
Certification dateAugust 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Green Bay