Individual provider Active NPI

Laura Riebe, APRN

  • Family Nurse Practitioner
  • Port Saint Lucie, FL
National Provider Identifier
1366227670
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11028276 Issued in FL
Practice address
241 NE Granduer Ave
Port Saint Lucie, FL 34983-1288
Phone
(772) 323-3468
NPI assigned
Aug 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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 APRN11028276 FL Primary

Addresses

Primary practice location

241 NE Granduer Ave
Port Saint Lucie, FL 34983-1288

Mailing address

241 NE Granduer Ave
Port Saint Lucie, FL 34983-1288
Phone (772) 323-3468

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514003631 FL Practitioner - Family Practice 5597106120 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dr. George Blackwell Inc.Group PAC ID 2769805225, 5 clinicians

Practice addresses (Care Compare)

1967 SE Port St Lucie Blvd
PSL Health Center
Port St Lucie, FL 34952-5536
Phone (772) 335-3110

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN11028276FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. George Blackwell Inc. CurrentSince Mar 30, 2024 Accepting new patients

Locations

1967 SE Port St Lucie Blvd
Port St Lucie, FL 34952
Phone (772) 335-3110

Interoperability endpoints

  • Direct secure messaging: laura.riebe.1@32031.direct.athenahealth.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": "1693180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1366227670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 NE GRANDUER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831288",
            "telephone_number": "772-323-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 NE GRANDUER AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349831288",
            "telephone_number": "772-323-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIEBE",
        "first_name": "LAURA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-28",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11028276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Saint Lucie, FL

Sources for this page

Verify at the official NPI Registry.