MRS. LAURA RENNINGER BALLEW (PA-C) – Physician Assistant, NPI 1801085659

MRS. LAURA RENNINGER BALLEW (PA-C) is a healthcare provider. based in Daytona beach, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9103192 (FL). The NPI Number for MRS. LAURA RENNINGER BALLEW (PA-C) is 1801085659

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LAURA RENNINGER BALLEW (PA-C)
NPI
1801085659
Phone
(386) 254-4000
Address
303 N CLYDE MORRIS BLVD
Enumeration Date
17 October 2007
Last Update Date
18 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3869571854
Graduation Year
2004 (22 years ago)
PAC ID
9234295593
Group Practice PAC ID
8921301300
Professional Enrollment ID
I20090311000663
Address ID
FL321687325NE502XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for MRS. LAURA RENNINGER BALLEW (PA-C)

  • Halifax Health Medical Center, 303, North Clyde Morris Boulevard, Daytona Beach, Volusia County, Florida, 32114, United States

    DAYTONA BEACH, FL 321142709

    Phone: (386) 254-4000

    Fax: (386) 226-4577

    Type: Mailing

  • 807 STATE ROAD 44

    NEW SMYRNA BEACH, FL 321687271

    Phone: (386) 428-5554

    Fax: (386) 428-6291

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-02-12 • Largest payer in this snapshot: Abbott Laboratories ($111).

Total Amount

$132

General + Research + Ownership

Payments

4

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-02-12

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Abbott Laboratories$111
PFIZER INC.$20
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2009-03-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090311000663IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32114)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8921301300View full group profile
NameSpecialtyState
-FL
Family PracticeFL
Physical Therapist In Private PracticeFL
Physician AssistantFL
Interventional Pain Management, AnesthesiologyFL
Physician AssistantFL
Nurse PractitionerFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

How do I look up MRS. LAURA RENNINGER BALLEW (PA-C) by NPI?
Use NPI 1801085659 when you need to reference MRS. LAURA RENNINGER BALLEW (PA-C) in forms, claims, or directories.
Is MRS. LAURA RENNINGER BALLEW (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. LAURA RENNINGER BALLEW (PA-C)?
The page reflects Physician Assistant for MRS. LAURA RENNINGER BALLEW (PA-C). Clinical services aligned with this taxonomy classification.
Where does public data place MRS. LAURA RENNINGER BALLEW (PA-C)?
The snapshot lists Daytona Beach, Florida for MRS. LAURA RENNINGER BALLEW (PA-C); download NPPES for the complete set.
What if Daytona Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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