LAURA E BALLWEG (APNP) – Nurse Practitioner, NPI 1770938771

LAURA E BALLWEG (APNP) is a healthcare provider. based in Portage, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials APNP. They hold a License No. 6931-33 (WI). The NPI Number for LAURA E BALLWEG (APNP) is 1770938771

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAURA E BALLWEG (APNP)
NPI
1770938771
Phone
(608) 742-7161
Address
2825 HUNTERS TRL
Enumeration Date
27 April 2016
Last Update Date
23 November 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6085772084
Graduation Year
2015 (11 years ago)
PAC ID
6103115480
Group Practice PAC ID
8628512407
Professional Enrollment ID
I20160511000145
Address ID
WI537046070MA401XXWAYX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for LAURA E BALLWEG (APNP)

  • 2825 HUNTERS TRL

    PORTAGE, WI 539013429

    Phone: (608) 742-7161

    Fax: (608) 745-3990

    Mailing address matches the actual address.

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 $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Medline Industries LP ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-12-07

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Medline Industries LP$16
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: 2016-05-11

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
I20160511000145INurse PractitionerWITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53901)

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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: 8628512407View full group profile
NameSpecialtyState
Nurse PractitionerWI
Nurse PractitionerTX
Nurse PractitionerMN
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA E BALLWEG (APNP)?
NPI 1770938771 is assigned to LAURA E BALLWEG (APNP) under the national enumeration system.
Is LAURA E BALLWEG (APNP) active in the national directory?
LAURA E BALLWEG (APNP)'s public NPI profile is in an active state.
Does LAURA E BALLWEG (APNP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for LAURA E BALLWEG (APNP). Clinical services aligned with this taxonomy classification.
Where does public data place LAURA E BALLWEG (APNP)?
The snapshot lists Portage, Wisconsin for LAURA E BALLWEG (APNP); download NPPES for the complete set.
What if Portage, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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