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LAURA S OLDENBURG PA
NPI 1104920107
Physician Assistant in Wauwatosa, WI

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
81.61/100
CMS Quality Rating
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222(414) 384-6700(414) 727-1058 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Laura S Oldenburg Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA S OLDENBURG PA (NPI 1104920107) is an individual physician assistant in Wauwatosa, Wisconsin, licensed in Wisconsin (1747023) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1104920107
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA S OLDENBURGCredential: PA
Location Address3077 N MAYFAIR RD STE 305Wauwatosa, WI 53222-4305
Mailing Address3077 N Mayfair Rd Ste 305Wauwatosa, WI 53222-4305 · (414) 384-6700 · Fax (414) 727-1058
Phone(414) 384-6700
Fax(414) 727-1058
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMarch 3, 2020
NPPES CertifiedMarch 3, 2020
✔ NPI 1104920107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 1747023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3077 N MAYFAIR RD STE 305, Wauwatosa, WI 53222
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Other Identifiers 1

Medicaid42879000WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Network Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura S Oldenburg Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648292391
PECOS Enrollment IDI20051222000427
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
79 services49 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53222 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.37
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THOMAS JOSEPH PARISI MD
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700
NICHOLAS ROBERT JULGA PA-C
Physician Assistant (Surgical)
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700
BINDU S. BAMRAH M.D.
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700
ORTHOPEDIC SURGEONS OF WISCONSIN, S.C.
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700
DR. ROBERT PRIOR DO
Orthopaedic Surgery
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 643-4010
JOSHUA MARK BAKER PA
Physician Assistant
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 643-4027
JENNA RAE HOLENTUNDER PA-C
Physician Assistant
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700
TRACY M PETERSON NURSE PRACTIONER
Nurse Practitioner
3077 N MAYFAIR RD STE 305
WAUWATOSA, WI 53222
Milwaukee County (414) 384-6700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Oldenburg's NPI number?

The NPI number for Laura Oldenburg is 1104920107. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Laura Oldenburg located?

Laura Oldenburg practices at 3077 N Mayfair Rd Ste 305, Wauwatosa, WI 53222. The listed phone number is (414) 384-6700.

What is Laura Oldenburg's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Oldenburg enrolled in Medicare?

Yes. Laura Oldenburg is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Laura Oldenburg accept?

Health plans from Anthem Blue Cross and Blue Shield, Network Health and UnitedHealthcare list Laura Oldenburg as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laura Oldenburg was last updated on March 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.