Laurie Jennifer Mottl, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA07844 Issued in TX

Practice address

4308 Mesa Dr
Denton, TX 76207-3459

Phone

(940) 381-1501

Fax

(940) 591-7830

NPI assigned

Mar 27, 2007

Last updated

Mar 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Laurie J Baker Former name

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Group practices

Health Services of North Texas, Inc.Group PAC ID 0244211852, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Health Services of North Texas, Inc.

  • Family Medicine Physician
  • Denton, TX
  • NPI 1235154824
  Medicare reassignment Care Compare group
• Northwest Eyecare PC

  • Optometrist
  • Freeport, IL
  • NPI 1184800625
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1336267012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 N INTERSTATE 35 UNIT 312",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073318",
            "telephone_number": "940-381-1501",
            "fax_number": "940-591-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4308 MESA DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762073459",
            "telephone_number": "940-381-1501",
            "fax_number": "940-591-7830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4304 Mesa Dr",
            "address_purpose": "LOCATION",
            "city": "Denton",
            "state": "TX",
            "postal_code": "762073434",
            "country_code": "US",
            "telephone_number": "940-381-1501",
            "fax_number": "940-591-7830",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTTL",
        "first_name": "LAURIE",
        "middle_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "4351",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085-002366",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA07844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "429843",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BAKER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marc Moses, PT
• Curt L Mosier, M.D.
• Manuel Mosley, R.PH.
• Kyle David Motsenbocker, FNP-C
• Alvin Mott, M.ED, LPC, NCC
• Lauren Motwani, LCSW
• Mowahid Traders LLC
• Josephine Msiagi, LVN
• Mt Zion Home Health Agency LLC
• Rebecca Kuvuna Mtenga

• Medical Physician Assistant in Denton, TX
• Providers in Denton, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.