Individual provider Active NPI

Alexandra Laurence, PA-C

  • Physician Assistant
  • Odenton, MD
National Provider Identifier
1295304319
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0007989 Issued in MD
Practice address
1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622
Phone
(410) 672-2255
NPI assigned
Jun 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X C0007989 MD Primary

Addresses

Primary practice location

1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622

Mailing address

1130 Annapolis Rd Ste 100
Odenton, MD 21113-1622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250120000305 CO Practitioner - Physician Assistant 3072918093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 Golden Ridge Rd
Golden, CO 80401-9541

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.31 of 100Reported as group
Quality
73.89
Promoting interoperability
100
Improvement activities
40
Cost
70.47

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Maryland Pain Management, LLC Single Specialty CurrentSince Aug 30, 2021 Accepting new patients
Greater Maryland Pain Management, LLC Single Specialty CurrentSince Aug 30, 2021 Accepting new patients
Johns Hopkins University CurrentSince Jul 18, 2022 Accepting new patients
Johns Hopkins University Single Specialty CurrentSince Jul 18, 2022 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jan 27, 2025 Accepting new patients
Panorama Orthopedics & Spine Center, PC CurrentSince Jan 27, 2025 Accepting new patients
Panorama Orthopedics and Spine Center PC Single Specialty Past Accepting new patients

Locations

660 Golden Ridge Rd
Ste 250
Golden, CO 80401
Phone (303) 274-7321

640 Plaza Dr
Ste 300
Highlands Ranch, CO 80129

640 Plaza Dr
Ste 130
Highlands Ranch, CO 80129

4940 Eastern Ave
Baltimore, MD 21224

1130 Annapolis Rd
Ste 100
Odenton, MD 21113
Phone (703) 347-1962

Interoperability endpoints

  • Direct secure messaging: alaurence579410@direct.hopkinsmedicine.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1295304319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD STE 100",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 ANNAPOLIS RD STE 100",
            "city": "ODENTON",
            "state": "MD",
            "postal_code": "211131622",
            "telephone_number": "410-672-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURENCE",
        "first_name": "ALEXANDRA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0007989",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odenton, MD

Sources for this page

Verify at the official NPI Registry.