{"npi":"1215341920","type":"NPI-1","status":"active","name":{"display":"Lauren Wile PA-C","other":[{"code":"1","type":"Formerly known as","value":"WAGNER, LAUREN M"}],"first":"LAUREN","last":"WILE","middle":"WAGNER","credential":"PA-C"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"WI","license":"3319"}]},"addresses":[{"purpose":"LOCATION","street_1":"1111 DELAFIELD ST","city":"WAUKESHA","state":"WI","postal_code":"531883417","country_code":"US","phone":"2627544488"},{"purpose":"MAILING","street_1":"13800 W NORTH AVE STE 100","city":"BROOKFIELD","state":"WI","postal_code":"530054977","country_code":"US","phone":"2627544488","fax":"2627544940"}],"license":{"state":"WI","number":"3319"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"1215341920","state":"WI","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20140717002020","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"WI","pac_id":"9739305319"}]},"enumeration_date":"2014-06-20","last_updated":"2018-03-17","_meta":{"source":"NPPES","snapshot_date":"2018-03-17","doc_url":"https://findmynpi.com/api"}}