DR. LAURA MICHELLE NILAN (DO) – Pediatric Sports Medicine Physician, NPI 1568789352

DR. LAURA MICHELLE NILAN (DO) is a healthcare provider. based in Bloomington, Minnesota. specializing in PEDIATRIC MEDICINE, SPORTS MEDICINE. They hold the professional credentials DO. They hold a License No. 2013018502 (MO). The NPI Number for DR. LAURA MICHELLE NILAN (DO) is 1568789352

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAURA MICHELLE NILAN (DO)
NPI
1568789352
Phone
Not provided
Address
8170 33RD AVE S # 21110
Enumeration Date
3 May 2010
Last Update Date
12 June 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9529933123
Graduation Year
2010 (16 years ago)
PAC ID
0749413060
Group Practice PAC ID
7911819438
Professional Enrollment ID
I20170817004312
Address ID
MN554162527ST3850XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:16State licenses:2Digital endpointsOther names

717 PEDIATRIC MEDICINE in MN

Provider Addresses for DR. LAURA MICHELLE NILAN (DO)

  • 8170 33RD AVE S # 21110

    BLOOMINGTON, MN 554254516

    Phone:

    Type: Mailing

  • 8100 NORTHLAND DR

    BLOOMINGTON, MN 554314800

    Phone: (952) 831-8742

    Type: Location

  • 2401 GILLHAM RD

    KANSAS CITY, MO 641084619

    Phone: (816) 234-3000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $150.

Total Amount is formed as General ($150) + Research ($0) + Ownership ($0) = $150.

Last reported payment date: 2024-03-19 • Largest payer in this snapshot: NeuroLogica Corporation, a subsidiary of Samsung Electronics Co., Ltd. ($150).

Total Amount

$150

General + Research + Ownership

Payments

1

Total payment records

General Amount

$150

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-19

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: 2017-08-17

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
I20170817004312IPediatric MedicineMNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20242$0
99214Established patient office or other outpatient visit, 30-39 minutes195157$0
99204New patient office or other outpatient visit, 45-59 minutes8989$0
20610Aspiration and/or injection of fluid from large joint4841$0
99203New patient office or other outpatient visit, 30-44 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 55425)

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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: 7911819438View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMN
Family PracticeMN
-MN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineMN
Cardiac ElectrophysiologyMN
Family PracticeMN
Physician AssistantMN
Physical Therapist In Private PracticeMN
Physician AssistantMN
D E R M A T O L O G YMN

Reviews

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Frequently asked questions

What NPI should I save for DR. LAURA MICHELLE NILAN (DO)?
Save NPI 1568789352 if you need a stable reference for DR. LAURA MICHELLE NILAN (DO).
Is DR. LAURA MICHELLE NILAN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. LAURA MICHELLE NILAN (DO) list a primary specialty?
If you are matching referrals, note Pediatric Sports Medicine Physician for DR. LAURA MICHELLE NILAN (DO). Clinical services aligned with this taxonomy classification.
Does DR. LAURA MICHELLE NILAN (DO) practice in Minnesota?
You will see Bloomington, Minnesota on file for DR. LAURA MICHELLE NILAN (DO) alongside any extra practice locations.
How can I contact DR. LAURA MICHELLE NILAN (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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