Laura Elizabeth Bixby, APNP
Individual provider Active NPI Family Nurse Practitioner · Prairie Du Sac, WI
NPI 1508520123 · NPPES record last updated Oct 29, 2021
Key facts
- NPI
- 1508520123
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 11501-33 (WI)
- Practice address
- 260 26TH St
Prairie Du Sac, WI 53578-2203 - Phone
- (608) 643-3311
- NPI assigned
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sauk Prairie Healthcare Inc
Practice addresses (Care Compare)
160 Valley Dr
Lodi, WI 53555-1464
Phone (608) 592-3296
260 26TH St
Prairie Du Sac, WI 53578-2203
Hospital & facility affiliations
- Sauk Prairie Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211124001713 | WI | Practitioner - Nurse Practitioner | 2062802531 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11501-33 | WI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sauk Prairie Healthcare, Inc. | Current |
Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current |
Accepting new patients | |
| Sauk Prairie Healthcare Inc | Current | Accepting new patients | |
| Sauk Prairie Healthcare Inc | Past | Accepting new patients |
Locations
160 Valley Dr
Lodi, WI 53555
Phone (608) 592-3296
506 Crocker St
Ste 3
Mazomanie, WI 53560
Phone (608) 795-4110
825 Main St
Plain, WI 53577
Phone (608) 546-4211
250 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2431
260 26th St
Prairie du Sac, WI 53578
Phone (608) 643-2471
436 Sunrise Dr
Spring Green, WI 53588
Phone (608) 588-2502
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- laura.bixby@direct.saukprairiehealthcare.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 11501-33 | WI | Yes |
Addresses
Primary practice location
260 26TH St
Prairie Du Sac, WI 53578-2203
Mailing address
2710 McKenna Blvd
Madison, WI 53711-3922
Phone (715) 207-7935
Other providers in Prairie Du Sac, WI
- Randall E Ballweg
- Teresa Denise Bare-Inman
- Kristine A Bathke
- Shana Becker-Lindow
- Nicole Carin Been
- Samantha Jo Boll
- Kelsey M Brady
- Becki Jo Braund
- Brigitta M D Brickl
- Diane L Buckley
All providers in Prairie Du Sac, WI · Family Nurse Practitioner in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.