LAURA P VAN ROO (PA-C) – Medical Physician Assistant, NPI 1316996622
Medical Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for LAURA P VAN ROO (PA-C)
1225 BONGARD DR
WAUNAKEE, WI 535972657
Phone:
Type: Mailing
7974, UW Health Court, Discovery Springs, City of Middleton, Dane County, Wisconsin, 53562, United States
MIDDLETON, WI 535625531
Phone: (608) 829-5201
Fax: (608) 833-0999
Type: Mailing
Aspirus Divine Savior Hospital, 2817, New Pinery Road, Portage, Columbia County, Wisconsin, 53901, United States
PORTAGE, WI 539019240
Phone: (608) 742-4131
Fax: (608) 745-5098
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: 2004-08-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-11-30 (926 days ago).
Enrollment records
1
Earliest due date
2023-11-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040809000853 | I | Physician Assistant | WI | 2023-11-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 108 | 74 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 98 | 83 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 77 | 71 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 60 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 37 | 33 | $0 |
Insurance plans in this area (ZIP 53597)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| - | WI | |
| - | WI | |
| - | WI | |
| Endocrinology, Internal Medicine | WI | |
| Medical Oncology, Hematology/Oncology | CA |
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