LAURA ANN BALLOU FNP-BC NPI 1811278484

Nurse Practitioner (Family) in Unalaska, AK

NPI 1811278484 Individual Female Years of Experience 11 Nurse Practitioner Family PECOS Enrolled Accepts Medicare Approved Payment

About LAURA BALLOU

Laura Ballou is a provider established in Unalaska, Alaska and her medical specialization is nurse practitioner (family) with more than 11 years of experience. The NPI number of Laura Ballou is 1811278484 and was assigned on September 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 1245 (AK). The provider is registered as an individual and her NPI record was last updated 10 years ago.

A nurse practitioner (NP) like Laura Ann Ballou Fnp-bc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Laura Ballou is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Laura Ballou is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Searhc Wrangell Medical Center-cah and Mt Edgecumbe Hospital.

NPI

1811278484

Provider Name LAURA ANN BALLOU FNP-BC
Provider Location Address34 LAVELLE CT UNALASKA, AK 99685
Provider Mailing AddressPO BOX 144 UNALASKA, AK 99685
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2011
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date09-08-2011
Last Update Date09-08-2011


Primary Taxonomy

Taxonomy Code363LF0000X
ClassificationNurse Practitioner
TypePhysician Assistants & Advanced Practice Nursing Providers
SpecializationFamily
License No.1245
License StateAK

Business Address

LAURA ANN BALLOU FNP-BC
34 LAVELLE CT
UNALASKA, AK
ZIP 99685
Phone: (907) 581-1202
Fax: (907) 581-4897

Get Directions


Mailing Address

LAURA ANN BALLOU FNP-BC
PO BOX 144
UNALASKA, AK
ZIP 99685
Phone: (907) 581-1202
Fax: (907) 581-4897



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID2860714698
PECOS Enrollment IDI20141206000317, I20160927001547
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 29Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 22X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 19Automated urinalysis test (HCPCS:81003)
  • 17Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laura Ballou is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SEARHC WRANGELL MEDICAL CENTER-CAH310 BENNETT STREET PO BOX 1081
WRANGELL, AK 99929
(907) 874-7000Critical Access Hospitals21305
MT EDGECUMBE HOSPITAL222 TONGASS DR
SITKA, AK 99835
(907) 966-2411Critical Access Hospitals21314

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477643872MISS ANNETTE C SIEMENS FNP
Individual
Nurse Practitioner34 LAVELLE CT OONALASKA WELLNESS CENTER
UNALASKA, AK 99685
(907) 581-2742
1417992215ALEUTIAN PRIBILOF ISLANDS ASSOCIATION INC
Organization
Counselor34 LAVELLE CT OONALASKA WELLNESS CENTER BEHAVIORAL HEALTH
UNALASKA, AK 99685
(907) 276-2700

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.