Individual provider Active NPI

Laura Burkett, MD

  • Family Medicine Physician
  • Beaver Dam, WI
National Provider Identifier
1811456940
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.145544 Issued in OH
Practice address
706 S University Ave
Beaver Dam, WI 53916
Phone
(920) 887-9272
NPI assigned
Mar 18, 2019
Last updated
Jul 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35.145544 OH Primary

Addresses

Primary practice location

706 S University Ave
Beaver Dam, WI 53916

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address laura.burkett1@mmhs.medicity.net
Direct Messaging Address laura.burkett1@mmhs.medicity.net
Direct Messaging Address laura.burkett1@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260623000615 WI Practitioner - Family Practice 4789096215

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7974 Uw Health CT
Middleton, WI 53562-5531

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35.145544OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Marietta Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients

Locations

805 Farson St
Ste 115
Belpre, OH 45714
Phone (740) 423-3201

805 Farson St
Ste 117
Belpre, OH 45714
Phone (740) 401-0033

807 Farson St
Ste 201A
Belpre, OH 45714
Phone (740) 401-1138

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 374-3526

Interoperability endpoints

  • Direct secure messaging: laura.burkett@mmhs.medicity.net
  • Direct secure messaging: laura.burkett1@mmhs.medicity.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1811456940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S UNIVERSITY AVE",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "53916",
            "telephone_number": "920-887-9272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKETT",
        "first_name": "LAURA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.145544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.burkett1@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "805 Farson St Ste 117",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.burkett1@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "805 Farson St Ste 115",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laura.burkett1@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 201A",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beaver Dam, WI

Sources for this page

Verify at the official NPI Registry.