Individual provider Active NPI

Laurie Boyd, NP

  • Nurse Practitioner
  • Clinton, MI
National Provider Identifier
1356328124
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
47042112837 Issued in MI
Practice address
1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702
Phone
(517) 456-4171
Fax
(517) 456-4600
NPI assigned
Dec 22, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 47042112837 MI Primary

Addresses

Primary practice location

1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702

Mailing address

1671 W Michigan Ave
Suite a
Clinton, MI 49236-8702
Phone (517) 456-4171

Other identifiers 3

IdentifierTypeStateIssuer
5008756650OtherMIBCBS
000000379335OtherMIANTHEM
4794273MedicaidMI

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
I20051219000687 MI Practitioner - Nurse Practitioner 2062434079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Acpc PLLCGroup PAC ID 4981947850, 19 clinicians

Practice addresses (Care Compare)

142 E Maumee St
Suite 3
Adrian, MI 49221-2735
Phone (517) 263-5810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
47042112837MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Acpc PLLC CurrentSince Nov 17, 2021 Accepting new patients

Locations

142 E Maumee St
Ste 3
Adrian, MI 49221
Phone (517) 263-5810

Interoperability endpoints

  • Direct secure messaging: adriancounselingandpsychiatricclinic.laurieboyd@153442.advancedmd-direct.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225411200000",
    "number": "1356328124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 W MICHIGAN AVE",
            "address_2": "SUITE A",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492368702",
            "telephone_number": "517-456-4171",
            "fax_number": "517-456-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1671 W MICHIGAN AVE",
            "address_2": "SUITE A",
            "city": "CLINTON",
            "state": "MI",
            "postal_code": "492368702",
            "telephone_number": "517-456-4171",
            "fax_number": "517-456-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYD",
        "first_name": "LAURIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-22",
        "last_updated": "2008-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "47042112837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5008756650",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000379335",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4794273",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MI

Sources for this page

Verify at the official NPI Registry.