LAURA ELIZABETH WILLSON (MD) – Therapeutic Radiology Physician, NPI 1528102084

LAURA ELIZABETH WILLSON (MD) is a healthcare provider. based in Saint paul, Minnesota. specializing in RADIATION ONCOLOGY. They hold the professional credentials MD. They hold a License No. 17693 (MN). The NPI Number for LAURA ELIZABETH WILLSON (MD) is 1528102084

Main info

Female
Sole Proprietor
23 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ELIZABETH WILLSON (MD)
NPI
1528102084
Phone
Not provided
Address
2122 JULIET AVE
Enumeration Date
17 February 2007
Last Update Date
10 November 2020

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6128633900
Graduation Year
2003 (23 years ago)
PAC ID
4183787765
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20090107000643
Address ID
MN554073723MI800XXSTXX431

Contacts

Secure Messaging
lwillson86396@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

157 RADIATION ONCOLOGY in MN

Provider Addresses for LAURA ELIZABETH WILLSON (MD)

  • 2122 JULIET AVE

    SAINT PAUL, MN 551051322

    Phone:

    Type: Mailing

  • 800 EAST 28TH STREET

    MAIL ROUTE 11118

    MINNEAPOLIS, MN 554073799

    Phone: (612) 863-4060

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-01-07

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
I20090107000643IRadiation OncologyMNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
77014Ct guidance for insertion of radiation therapy fields28521$0
G6002Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy16711$0
77300Calculation of radiation therapy dose12035$0
77427Radiation treatment management, 5 treatment sessions10832$0
77334Design and construction of complex radiation treatment device8234$0
View full utilization report →

Insurance plans in this area (ZIP 55105)

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Provider's Procedures

LAURA ELIZABETH WILLSON (MD) performs procedures in RADIATION ONCOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYMN77263Management of radiation therapy, complex4744

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: 4587573613View full group profile

Reviews

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Frequently asked questions

What number should I use to identify LAURA ELIZABETH WILLSON (MD) for billing?
Administrative and clinical systems typically use NPI 1528102084 for LAURA ELIZABETH WILLSON (MD).
Does the public listing show LAURA ELIZABETH WILLSON (MD) as active?
LAURA ELIZABETH WILLSON (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret LAURA ELIZABETH WILLSON (MD)'s specialty?
The extract shows Therapeutic Radiology Physician for LAURA ELIZABETH WILLSON (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to LAURA ELIZABETH WILLSON (MD)?
LAURA ELIZABETH WILLSON (MD) is associated with Saint Paul, Minnesota in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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