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Laura Jean Gallistel, D.O.

NPI 1013997121ActiveIndividual· Pediatrics· De Pere, WI

Pediatrics (D.O.) in De Pere, Wisconsin, licensed in WI, with an NPI issued in January 2006. Enrolled in Medicare as practitioner - pediatric medicine.

Overview

NPI1013997121
StatusActive
Entity typeIndividual
CredentialD.O.
Sole proprietorNo
NPI issuedJan 17, 2006
Last updated in NPPESFeb 24, 2011

Specialties and licenses

TaxonomyCodeLicenseState
Pediatrics Primary208000000X51423-021WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Pediatric Medicine (WI)

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other Pediatrics providers in De Pere

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