CAROL BALLWEG APNP
NPI 1609990381
Nurse Practitioner - Family in Fitchburg, WI
About Carol Ballweg Apnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL BALLWEG APNP (NPI 1609990381) is an individual family provider in Fitchburg, Wisconsin, licensed in Wisconsin (4542) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Carol Ballweg Apnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Carol Ballweg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Madison, WI 53717
- Reassigned Medicare billing, Wisconsin enrollment
- 422 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 12
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Carol Ballweg's NPI number?
The NPI number for Carol Ballweg is 1609990381. It was assigned to this individual provider in the NPPES registry on March 19, 2007.
Where is Carol Ballweg located?
Carol Ballweg practices at 3051 Cahill Main, Fitchburg, WI 53711. The listed phone number is (608) 661-7200.
What is Carol Ballweg's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Carol Ballweg enrolled in Medicare?
Yes. Carol Ballweg 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.
Which organization bills Medicare for Carol Ballweg's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carol Ballweg reassigns Medicare benefits to Group Health Cooperative Of South Central Wisconsin (Madison, 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 Carol Ballweg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Carol Ballweg affiliated with any hospitals?
According to CMS data, Carol Ballweg is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Carol Ballweg was last updated on September 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Carol Ballweg, APNP · NPI 1609990381
Family physician in Fitchburg, Wisconsin. Individual provider, active in the CMS NPPES registry since March 19, 2007.
## Identity
- **NPI:** 1609990381 (Entity type: Individual)
- **Enumerated:** March 19, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4542 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3051 CAHILL MAIN, Fitchburg, WI 53711-7109
- **Phone:** (608) 661-7200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Group Health Cooperative Of South Central Wisconsin (NPI 1245260165, Madison, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 8, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1609990381) · Data from the CMS NPPES public registry.