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

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: November 01, 2026.

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

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
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Laura Pethan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bellin Memorial Hospital Inc
89 mi
Family Medicine
235 E RYAN ST
Brillion, WI 54110
  • Reassigned Medicare billing, Wisconsin enrollment
  • 875 clinicians in this Medicare group
NPI 1962464784 (920) 756-2055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

TAMI R LESLIE AU.D.
Audiologist
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3500
MRS. ELIZABETH MARY ROE PT
Physical Therapist
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3500
JENNIFER MARIE GROEHLER O.D.
Optometrist
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3008
DR. MELISSA MCGOWAN TERRILL O.D.
Optometrist
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3008
JOANNE L TAYLOR MD
Pediatrics
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3008
LEO A SCHUG MD
Internal Medicine
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3008
DIANA V FLINT M.D
Family Medicine
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3500
KATE M BLANK PA-C
Physician Assistant
10 TOWER DR
SUN PRAIRIE, WI 53590
Dane County (608) 825-3500

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 Pethan's NPI number?

The NPI number for Laura Pethan is 1194122861. It was assigned to this individual provider in the NPPES registry on November 25, 2014. The provider is also known as Laura B Scharenbroch Apnp.

Where is Laura Pethan located?

Laura Pethan practices at 10 Tower Dr, Sun Prairie, WI 53590. The listed phone number is (608) 825-3008.

What is Laura Pethan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Laura Pethan enrolled in Medicare?

Yes. Laura Pethan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Pethan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Pethan reassigns Medicare benefits to Bellin Memorial Hospital Inc (Brillion, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Pethan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Pethan accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and HealthPartners list Laura Pethan 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 Pethan was last updated on April 24, 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.