LAURA B PETHAN APNP
NPI 1194122861
Nurse Practitioner - Pediatrics in Sun Prairie, WI

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

Active since November 25, 2014PECOS Enrolled

10 TOWER DR, SUN PRAIRIE, WI 53590(608) 825-3008(608) 825-3786 Get Directions Write a Review

NPPES record last updated: April 24, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 24, 2020, Apr 3, 2020, Feb 27, 2017 and 1 more (4 updates tracked since 2017).

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About Laura B Pethan Apnp NPPES

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

LAURA B PETHAN APNP (NPI 1194122861) is an individual pediatrics provider in Sun Prairie, Wisconsin, licensed in Wisconsin (7462-33) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in De Pere.

NPPES Registry Identity

NPI1194122861

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameLAURA B PETHANCredential: APNP

Location Address10 TOWER DRSun Prairie, WI 53590-1239

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(608) 825-3008

Fax(608) 825-3786

Sole ProprietorNo

Enumeration DateNovember 25, 2014

Last NPPES UpdateApril 24, 20204 updates tracked since enumeration

NPPES CertifiedApril 24, 2020

✔ NPI 1194122861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WI · 7462-33

10 TOWER DR, Sun Prairie, WI 53590

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Other Names 1

Former Name (1)Laura B Scharenbroch Apnp

Secondary Practice Location 1

Location 1555 Redbird CirDE Pere, WI 54115-7977 · Phone (920) 338-6820 · Fax (920) 338-6829

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura B Pethan Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53590 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

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MARY M MCNICHOLAS CNM MSN

Advanced Practice Midwife

10 TOWER DR
SUN PRAIRIE, WI 53590

Dane County (608) 825-3008

JODY L KLUMB LCSW

Social Worker (Clinical)