NPIMap

Individual provider Active NPI

Laura R. Styles, MPAS, PA-C

  • Physician Assistant
  • Boise, ID
National Provider Identifier
1073942165
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-1951 Issued in ID
Practice address
325 W Idaho St
Boise, ID 83702-6040
Phone
(208) 514-2525
Fax
(208) 375-2217
NPI assigned
Nov 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA056448 PA
Physician Assistant 363A00000X PA-1951 ID Primary

Addresses

Primary practice location

325 W Idaho St
Boise, ID 83702-6040

Mailing address

777 N Raymond St
Boise, ID 83704-9251
Phone (208) 514-2500

Other practice location 1

6023 Harvard Sq
Pittsburgh, PA 15206-3053
Phone (412) 661-2802

Other names 1

  • Laura R. Reigle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, ID2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140317000650 PA Practitioner - Physician Assistant 0648401604 Reassigns benefits to 2 organizations
I20201016000599 ID Practitioner - Physician Assistant 0648401604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Full Circle Health IncGroup PAC ID 6709986797, 106 clinicians

Practice addresses (Care Compare)

325 W Idaho St
Boise, ID 83702-6040
Phone (208) 514-2525

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA056448PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
East Liberty Family Health Care Center, Inc. CurrentSince May 8, 2018 Accepting new patients
East Liberty Family Health Care Center, Inc. CurrentSince May 8, 2018 Accepting new patients
St Clair Medical Services Inc CurrentSince Dec 2, 2015 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Dec 2, 2015 Accepting new patients
St Lukes Regional Medical Center PastSince Oct 19, 2020 Accepting new patients

Locations

7171 Churchland St
Pittsburgh, PA 15206
Phone (412) 361-8284

7157 Mary Peck Bond Pl
Pittsburgh, PA 15206
Phone (412) 345-0412

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

6023 Harvard St
Pittsburgh, PA 15206
Phone (412) 661-2802

Interoperability endpoints

  • Direct secure messaging: lstyles321826@direct.ochin.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1073942165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N RAYMOND ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837049251",
            "telephone_number": "208-514-2500",
            "fax_number": "208-375-2217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 W IDAHO ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837026040",
            "telephone_number": "208-514-2525",
            "fax_number": "208-375-2217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6023 Harvard Sq",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152063053",
            "country_code": "US",
            "telephone_number": "412-661-2802",
            "fax_number": "412-661-8020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STYLES",
        "first_name": "LAURA",
        "middle_name": "R.",
        "credential": "MPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA056448",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-1951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "REIGLE",
            "middle_name": "R.",
            "credential": "MPAS, PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.