LISA M. BRATVOLD NP
NPI 1477584266
Nurse Practitioner in Hayward, WI

Q: What is Lisa Bratvold's NPI number?

The NPI number for Lisa Bratvold is 1477584266. It was assigned to this individual provider in the NPPES registry on July 6, 2006.

Q: What is Lisa Bratvold's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bratvold was last updated on July 14, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2006PECOS EnrolledAccepts Medicare Assignment

11040 N STATE RD 77, HAYWARD, WI 54843(715) 934-4910(715) 934-4620 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 14, 2023, Nov 17, 2022 (2 updates tracked since 2022).

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About Lisa M. Bratvold Np NPPES

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

LISA M. BRATVOLD NP (NPI 1477584266) is an individual nurse practitioner in Hayward, Wisconsin, licensed in Wisconsin (2823) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Tamarack Health Hayward Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1477584266

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA M. BRATVOLDCredential: NP

Location Address11040 N STATE RD 77Hayward, WI 54843-3606

Mailing Address11040 N State Rd 77Hayward, WI 54843-3606 · (715) 934-4910 · Fax (715) 934-4620

Phone(715) 934-4910

Fax(715) 934-4620

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateJuly 6, 2006

Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1477584266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 2823

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11040 N STATE RD 77, Hayward, WI 54843

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Other Identifiers 1

MedicaidAPPRWI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, HealthPartners, Medica 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 and accepts Medicare assignment

Lisa M. Bratvold Np 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 ID8123098852

PECOS Enrollment IDI20060719000298

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tamarack Health Hayward Medical Center

Critical Access Hospitals · Hayward, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521336

Location11040 N State Rd 77Hayward, WI 54843 · Sawyer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54843 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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers14 claims35 services$4.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers16 claims18 services$1.13 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$110.33 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.78 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 13

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

AMY MARIE HANSEN FNP-C

Nurse Practitioner (Primary Care)