Individual provider Active NPI

Stephanie Lynn McLaurine, APRN

  • Family Nurse Practitioner
  • Louisville, KY
National Provider Identifier
1366135139
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4004978 Issued in KY
Practice address
10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475
Phone
(502) 576-5300
Fax
(502) 576-5376
NPI assigned
May 30, 2023
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4004978 KY Primary

Addresses

Primary practice location

10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475

Mailing address

10302 Brookridge Village Blvd Ste 103-104
Louisville, KY 40291-4475
Phone (502) 576-5300

Other names 1

  • Stephanie Clos Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20230706002512 KY Practitioner - Nurse Practitioner 4688033897 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
78.96 of 100Reported as group
Quality
56.12
Promoting interoperability
100
Improvement activities
40
Cost
73.73

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4004978KYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Pain and Wellness Institute of Kentucky LLC Nurse Practitioner CurrentSince Mar 17, 2025 Accepting new patients
University of Louisville Physicians, Inc. Nurse Practitioner Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jun 1, 2023 Accepting new patients

Locations

7752 Solution Ctr
Chicago, IL 60677

10302 Brookridge Village Blvd
Ste 103
Louisville, KY 40291

10302 Brookridge Village Blvd
Ste 103104
Louisville, KY 40291
Phone (502) 276-5300

2401 Terra Crossing Blvd
Louisville, KY 40245
Phone (502) 210-4200

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

Interoperability endpoints

  • Direct secure messaging: smclaurine36736@uoflhealth-dm.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1366135139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10302 BROOKRIDGE VILLAGE BLVD STE 103-104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914475",
            "telephone_number": "502-576-5300",
            "fax_number": "502-576-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10302 BROOKRIDGE VILLAGE BLVD STE 103-104",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402914475",
            "telephone_number": "502-576-5300",
            "fax_number": "502-576-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAURINE",
        "first_name": "STEPHANIE",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4004978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "CLOS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.