Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Laura E Ballweg, APNP

Individual provider Nurse Practitioner · NPI 1770938771

Laura E Ballweg, APNP is a Nurse Practitioner in Portage, Wisconsin. Qualified in 2015, 11 years ago. Practices with Madison Mobile Wound Care Practice, a 12-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2016

Practice location Address checks out

2825 Hunters Trl
Portage, WI 53901-3429
Phone: (608) 742-7161
Fax: (608) 745-3990
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6931-33 (WI)

Record details

NPI number1770938771
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedApril 27, 2016
Last updated in NPPESNovember 23, 2016
Mailing address2825 Hunters Trl, Portage, WI 53901-3429

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Madison Mobile Wound Care Practice — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Portage