Individual provider Active NPI

Stephanie Lauria, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Grayling, MI
National Provider Identifier
1003490038
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704300481 Issued in MI
Practice address
1135 N Old 27
Grayling, MI 49738-9777
Phone
(989) 344-3540
NPI assigned
May 6, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704300481 MI Primary

Addresses

Primary practice location

1135 N Old 27
Grayling, MI 49738-9777

Mailing address

1135 N Old 27
Grayling, MI 49738-9777
Phone (989) 344-3540

Other identifiers 1

IdentifierTypeStateIssuer
383372828OtherDISTRICT HEALTH DEPARTMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Patagonia

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220803002408 MI Practitioner - Nurse Practitioner 7517349822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hawk Emergency Group, P.C.Group PAC ID 6800241050, 55 clinicians
North Michigan Physician Services PCGroup PAC ID 0143730671, 66 clinicians

Practice addresses (Care Compare)

1100 E Michgan Ave
Grayling, MI 49738-1312
Phone (989) 348-5461

14700 Lake Shore Dr
Charlevoix, MI 49720-1931
Phone (231) 547-4024

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
4704300481MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hawk Emergency Group, P.C. CurrentSince Jun 24, 2025 Accepting new patients
North Michigan Physician Services PC CurrentSince Jul 1, 2025 Accepting new patients
District Health Department No 10 PastSince May 9, 2021 Accepting new patients

Locations

14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840

1100 E Michigan Ave
Grayling, MI 49738
Phone (989) 348-0317

Organizations & group practices 4

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

Hospital & facility affiliations 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1003490038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 N OLD 27",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389777",
            "telephone_number": "989-344-3540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 N OLD 27",
            "city": "GRAYLING",
            "state": "MI",
            "postal_code": "497389777",
            "telephone_number": "989-344-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIA",
        "first_name": "STEPHANIE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704300481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DISTRICT HEALTH DEPARTMENT",
            "identifier": "383372828",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Patagonia",
            "affiliation": "N",
            "address_1": "1135 N Old 27",
            "city": "Grayling",
            "state": "MI",
            "country_code": "US",
            "postal_code": "497389777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grayling, MI

Sources for this page

Verify at the official NPI Registry.