Individual provider Active NPI

Laura Marie Reule, PA-C

  • Physician Assistant
  • Jackson, MI
National Provider Identifier
1124306204
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
400 Hinckley Blvd
Jackson, MI 49203-6152
Phone
(517) 205-8991
NPI assigned
Jul 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

400 Hinckley Blvd
Jackson, MI 49203-6152

Mailing address

400 Hinckley Blvd
Jackson, MI 49203-6152
Phone (517) 205-8991

Other names 1

  • Laura Marie Munn Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lreule456367@direct.hfhs.org
Direct Messaging Address lreule456367@direct.hfhs.org

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
I20111221000037 MI Practitioner - Physician Assistant 6608042775 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

400 Hinckley Blvd
Suite 100
Jackson, MI 49203-6152
Phone (517) 205-8991

7845 Spring Arbor Rd
Spring Arbor, MI 49283-9785
Phone (517) 205-2580

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Aug 5, 2017 Accepting new patients
Henry Ford Pathology Current Accepting new patients
W.a. Foote Memorial Hospital, Inc Physician Assistant CurrentSince Aug 5, 2017 Accepting new patients
Wa Foote Memorial Hospital, Inc Physician Assistant Past Accepting new patients
Cogent Healthcare of Michigan PC Physician Assistant Past Accepting new patients

Locations

27931 C Dr N
Albion, MI 49224
Phone (517) 629-8311

400 Hinckley Blvd
Jackson, MI 49203
Phone (517) 205-2299

400 Hinckley Blvd
Ste 100
Jackson, MI 49203
Phone (517) 205-8991

1401 W North St
Jackson, MI 49202
Phone (517) 205-2555

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

130 N Sherman St
Leslie, MI 49251
Phone (517) 205-2500

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

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 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": "1311465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1124306204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HINCKLEY BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492036152",
            "telephone_number": "517-205-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HINCKLEY BLVD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492036152",
            "telephone_number": "517-205-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REULE",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-24",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreule456367@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "400 Hinckley Blvd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492036152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lreule456367@direct.hfhs.org",
            "affiliation": "N",
            "address_1": "400 Hinckley Blvd",
            "city": "Jackson",
            "state": "MI",
            "country_code": "US",
            "postal_code": "492036152",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MUNN",
            "middle_name": "MARIE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jackson, MI

Sources for this page

Verify at the official NPI Registry.