Active NPI
Stephanie Lauria, MSN, APRN, FNP-C
- Family Nurse Practitioner
- Grayling, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704300481
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 383372828 | Other | DISTRICT HEALTH DEPARTMENT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4704300481 | MI | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawk Emergency Group, P.C. | Current | Accepting new patients | |
| North Michigan Physician Services PC | Current | Accepting new patients | |
| District Health Department No 10 | Past | 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.
-
- Emergency Medicine Physician
- Charlevoix, MI
- NPI 1073295135
-
- Hospitalist Physician
- Charlevoix, MI
- NPI 1972314821
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093967861
-
- Public Health or Welfare Agency
- White Cloud, MI
- NPI 1265441877
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Grayling, MI
- NPI 1083010953
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.