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Individual provider Active NPI

Laura Elizabeth Moench, M.D.

  • Hematology (Pathology) Physician
  • Minneapolis, MN
National Provider Identifier
1104146406
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Pathology) PhysicianTaxonomy code 207ZH0000X
License
57839 Issued in MN
Practice address
6401 France Ave S
Minneapolis, MN 55435-2104
Phone
(952) 924-5152
NPI assigned
Jun 9, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Pathology) Physician 207ZH0000X 57839 MN Primary
Anatomic Pathology Physician 207ZP0101X 57839 MN

Addresses

Primary practice location

6401 France Ave S
Minneapolis, MN 55435-2104

Mailing address

6401 France Ave S
Minneapolis, MN 55435-2104
Phone (952) 924-5152

Other names 1

  • Laura E. M. Meyer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20160427001706 MN Practitioner - Pathology 0244539146 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Minnesota Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Park Nicollet ClinicGroup PAC ID 7911819438, 1,778 clinicians

Practice addresses (Care Compare)

5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400

6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123

Hospital & facility affiliations

  • Park Nicollet Methodist Hospital Hospital, Saint Louis Park, MN, CCN 240053
  • Hutchinson Health Hospital, Hutchinson, MN, CCN 240187
  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Ridgeview Medical Center Hospital, Waconia, MN, CCN 240056
  • Lakeview Memorial Hospital Hospital, Stillwater, MN, CCN 240066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57839MNMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Fairview Health Services CurrentSince Mar 11, 2016 Accepting new patients
Range Regional Health Services CurrentSince Jun 30, 2021 Accepting new patients
Fairview Health Services CurrentSince Mar 11, 2016 Accepting new patients
Group Health, Inc. Current Accepting new patients
Group Health, Inc. CurrentSince Mar 7, 2022 Accepting new patients
Range Regional Health Services Current Accepting new patients
Fairview Express Care CurrentSince Sep 2, 2020 Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Express Care CurrentSince Sep 2, 2020 Accepting new patients
Range Regional Health Services CurrentSince Jun 30, 2021 Accepting new patients
Park Nicollet Clinic CurrentSince Mar 7, 2022 Accepting new patients
Park Nicollet Clinic Current Accepting new patients

Locations

14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400

201 E Nicollet Blvd
Burnsville, MN 55337
Phone (952) 892-2000

750 E 34th St
Hibbing, MN 55746
Phone (218) 262-3441

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

400 Stinson Blvd
Fl 2
Minneapolis, MN 55413
Phone (612) 672-2203

402 E Platt Ave
Nashwauk, MN 55769
Phone (218) 885-2858

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

5200 Fairview Blvd
Wyoming, MN 55092
Phone (651) 464-4611

Organizations & group practices 14

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.

View all 14

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": "1276041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1104146406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "952-924-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "952-924-5152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOENCH",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-09",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZH0000X",
            "taxonomy_group": "",
            "desc": "Pathology, Hematology",
            "state": "MN",
            "license": "57839",
            "primary": true
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "MN",
            "license": "57839",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MEYER",
            "middle_name": "E. M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.