LISA M. BRATVOLD (NP) – Nurse Practitioner, NPI 1477584266
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
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Provider Addresses for LISA M. BRATVOLD (NP)
11040 N STATE RD 77
HAYWARD, WI 548433606
Phone: (715) 934-4910
Fax: (715) 934-4620
Type: Mailing
Marshfield Clinic Marshfield Center, 1000, North Oak Avenue, Marshfield, Wood County, Wisconsin, 54449, United States
MARSHFIELD, WI 544495703
Phone: (715) 387-5511
Type: Mailing
10212, North Greenwood Lane, Hayward, Town of Hayward, Sawyer County, Wisconsin, 54843, United States
HAYWARD, WI 548437220
Phone: (715) 634-6520
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: 2006-07-19
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060719000298 | I | Nurse Practitioner | WI | TBD |
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.
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 54843)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | WI | 90670 | Pneumococcal vaccine for injection into muscle | 29 | 29 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WI | |
| Family Practice | WI | |
| Physical Therapist In Private Practice | WI | |
| Family Practice | WI | |
| Emergency Medicine, Family Practice | KS | |
| Orthopedic Surgery, Sports Medicine | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Emergency Medicine, Family Practice | WI | |
| Nurse Practitioner | WI |
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