Laura J Fodness, CNP
Individual provider Active NPI Family Nurse Practitioner · Worthington, MN
NPI 1154074649 · NPPES record last updated Feb 3, 2022
Key facts
- NPI
- 1154074649
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 8746 (MN)
- Practice address
- 1216 Ryans Rd
Worthington, MN 56187-1780 - Phone
- (507) 372-2921
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Avera McKennan
Rural Health Care Inc
Practice addresses (Care Compare)
1216 Ryans Rd
Worthington, MN 56187-1722
Phone (507) 372-2921
1216 Ryans Rd
Suite 3
Worthington, MN 56187-1781
Phone (507) 372-6522
941 County Rd
Suite 9
Heron Lake, MN 56137-1408
Phone (507) 793-2349
Hospital & facility affiliations
- Avera at Home Marshall
- Sanford Worthington Medical Center
- Avera McKennan Hospital & University Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220506000617 | MN | Practitioner - Nurse Practitioner | 3779960091 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8746 | MN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc | Current |
Accepting new patients | |
| Rural Health Care, Inc | Current |
Accepting new patients | |
| Avera McKennan | Current | Accepting new patients | |
| Avera McKennan | Past | Accepting new patients | |
| Rural Health Care, Inc. | Past | Accepting new patients |
Locations
300 S Bruce St
Ste 100
Marshall, MN 56258
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
1216 Ryans Rd
Ste 1
Worthington, MN 56187
Phone (507) 372-2921
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
Interoperability endpoints
- laura.fodness@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 8746 | MN | Yes |
Addresses
Primary practice location
1216 Ryans Rd
Worthington, MN 56187-1780
Mailing address
117 Oklahoma Ave
Adrian, MN 56110-1143
Phone (507) 227-0821
Other providers in Worthington, MN
- Ecumen
- Fernando Escobar
- Firas A Farra
- Melissa Ann Fellows
- John Patrick Finucane
- Larry D Foster
- Friendly Dental
- Functional Health and Wellness
- Benjamin Ernest Gaines
- Roshay Gath
All providers in Worthington, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.