NPIMap

Individual provider Active NPI

Laurey R Hanselman, D.O.

  • Family Medicine Physician
  • Pigeon, MI
National Provider Identifier
1033106372
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
LH010698 Issued in MI
Practice address
168 N Caseville Rd
Pigeon, MI 48755-9415
Phone
(989) 453-2141
Fax
(989) 453-4450
NPI assigned
Oct 3, 2005
Last updated
Mar 26, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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 LH010698 MI Primary

Addresses

Primary practice location

168 N Caseville Rd
Pigeon, MI 48755-9415

Mailing address

168 N Caseville Rd
Pigeon, MI 48755-9415
Phone (989) 453-2141

Other identifiers 2

IdentifierTypeStateIssuer
4465883MedicaidMI
1033106372OtherMINPI

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lhanselman46155@direct.covenanthealthcare.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050512000284 MI Practitioner - Family PracticePractitioner - Geriatric Medicine 4981644663 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Michigan State University College of Human Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer HospitalGroup PAC ID 1456242296, shared by 10 NPIs, 49 clinicians

Practice addresses (Care Compare)

168 N Caseville Rd
Pigeon, MI 48755-9415
Phone (989) 453-2141

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
LH010698MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scheurer Hospital CurrentSince Oct 1, 2009 Accepting new patients
Scheurer Hospital CurrentSince Oct 1, 2009 Accepting new patients
Scheurer Hospital Current Accepting new patients
Scheurer Hospital Past Accepting new patients
Scheurer Hospital Past Accepting new patients
Grayling Family Practice Clinic Family Medicine Past Accepting new patients
Scheurer Hospital Past Accepting new patients

Locations

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

168 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-2141

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

Interoperability endpoints

  • Direct secure messaging: lhanselman46155@direct.covenanthealthcare.com

Organizations & group practices 7

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1033106372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-2141",
            "fax_number": "989-453-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 N CASEVILLE RD",
            "city": "PIGEON",
            "state": "MI",
            "postal_code": "487559415",
            "telephone_number": "989-453-2141",
            "fax_number": "989-453-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSELMAN",
        "first_name": "LAUREY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-03",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "LH010698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4465883",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1033106372",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhanselman46155@direct.covenanthealthcare.com",
            "affiliation": "N",
            "address_1": "168 N Caseville Rd",
            "city": "Pigeon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487559415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pigeon, MI

Sources for this page

Verify at the official NPI Registry.