Mary Lynn Van Vonderen, APRN, CNP
NPI 1225280050ActiveIndividual· Nurse Practitioner· Chippewa Falls, WI
Nurse Practitioner (APRN, CNP) with Lac Courte Oreilles Governing Board, practicing in Chippewa Falls, Wisconsin. Part D covered 79 prescriptions written in 2024, 87% of them generic.
Overview
| NPI | 1225280050 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN, CNP |
| Sole proprietor | No |
| NPI issued | Oct 10, 2008 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 3519-33 | WI |
| Nurse Practitioner | 363L00000X | 141854 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 79 · 140 30-day fills |
|---|---|
| Patients | 40 |
| Total drug cost | $1,226 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Lac Courte Oreilles Governing BoardHayward, WI · 18 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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