LAURA M VANSELOW (PA) – Surgical Physician Assistant, NPI 1588894182

LAURA M VANSELOW (PA) is a healthcare provider. based in Downers grove, Illinois. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 085.002209 (IL). The NPI Number for LAURA M VANSELOW (PA) is 1588894182

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
LAURA M VANSELOW (PA)
NPI
1588894182
Phone
(630) 324-7900
Address
2650 WARRENVILLE RD
Enumeration Date
17 July 2009
Last Update Date
5 April 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
7719148261
Group Practice PAC ID
4587576814
Professional Enrollment ID
I20120411000142
Address ID
IL606112908CH251XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:16State licenses:1Digital endpointsOther names

5,035 PHYSICIAN ASSISTANT in IL

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Provider Addresses for LAURA M VANSELOW (PA)

  • PNC, 2650, Warrenville Road, Downers Grove, DuPage County, Illinois, 60515, United States

    STE. 280

    DOWNERS GROVE, IL 60515

    Phone: (630) 324-7900

    Fax: (630) 271-1813

    Type: Mailing

  • Euclid Avenue, Berwyn, Cook County, Illinois, 60601, United States

    STE. 400

    BERWYN, IL 60402

    Phone: (708) 783-0244

    Fax: (708) 783-0287

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $338.

Total Amount is formed as General ($338) + Research ($0) + Ownership ($0) = $338.

Last reported payment date: 2024-05-31 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($130).

Total Amount

$338

General + Research + Ownership

Payments

14

Total payment records

General Amount

$338

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2012-04-11

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
I20120411000142IPhysician AssistantILTBD

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 60515)

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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: 4587576814View full group profile
NameSpecialtyState
-IL
Diagnostic Radiology, Interventional RadiologyIL
P A T H O L O G YIL
Interventional Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineIL
G A S T R O E N T E R O L O G YIL
Internal MedicineIL
Cardiac Electrophysiology, Cardiovascular Disease (Cardiology), Internal MedicineMN
-IL
Physical Therapist In Private PracticeIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find LAURA M VANSELOW (PA)'s NPI?
You can confirm LAURA M VANSELOW (PA) with NPI 1588894182; it appears in the national provider directory.
Does this profile mean LAURA M VANSELOW (PA) is currently active?
Yes — LAURA M VANSELOW (PA) appears active in the national provider directory.
What does LAURA M VANSELOW (PA) treat or focus on?
Patients typically see LAURA M VANSELOW (PA) under the specialty Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Does LAURA M VANSELOW (PA) practice in Illinois?
You will see Downers Grove, Illinois on file for LAURA M VANSELOW (PA) alongside any extra practice locations.
How can I contact LAURA M VANSELOW (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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