DR. LAURA K FORTNER – Obstetrics & Gynecology Physician, NPI 1710973508
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
798 OBSTETRICS/GYNECOLOGY in WI
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Provider Addresses for DR. LAURA K FORTNER
Tamarack Health Ashland Medical Center, 1615, Maple Lane, Ashland, Ashland County, Wisconsin, 54806, United States
SUITE 1
ASHLAND, WI 548063610
Phone: (715) 685-7500
Fax: (715) 682-2481
Type: Location
400 Matthew St
Marietta, OH 457501644
Phone: (740) 373-4111
Fax: (740) 373-4860
Type: Location
15 Messimer Dr
Newark, OH 430551841
Phone: (220) 564-4678
Type: Location
1615 Maple Ln
Suite 1
Ashland, WI 548063610
Phone: (715) 685-7500
Fax: (715) 682-2481
Type: Location
400 EAST THIRD STREET
ESSENTIA HEALTH DULUTH CLINIC MCL2CRED
DULUTH, MN 558051951
Phone: (218) 786-3146
Fax: (218) 722-8792
Type: Mailing
8401 MARKET ST
BOARDMAN, OH 445126725
Phone: (330) 729-4350
Fax: (330) 729-4351
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: 2025-11-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20040928000414 | I | Obstetrics/Gynecology | OH | TBD |
| I20251121003275 | I | Obstetrics/Gynecology | SC | 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 54806)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| Certified Registered Nurse Anesthetist (Crna) | OH | |
| - | OH | |
| Nurse Practitioner | OH | |
| U R O L O G Y | OH | |
| - | OH | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OH | |
| Emergency Medicine | OH | |
| Certified Nurse Midwife (Cnm) | OH | |
| Pain Management | OH |
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