NPIMap

Individual provider Active NPI

Laura Kathryn Renegar, PA

  • Physician Assistant
  • Virginia Beach, VA
National Provider Identifier
1396200994
Registry record updated May 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563
Phone
(757) 466-8017
NPI assigned
Feb 7, 2019
Last updated
May 28, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X VA Primary

Addresses

Primary practice location

5544 Greenwich Rd Ste 200
Virginia Beach, VA 23462-6563

Mailing address

1613 Summerall LN Apt 103
Chesapeake, VA 23323-5217
Phone (239) 898-0025

Other names 1

  • Mrs. Laura Kathryn Turner Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190530002256 VA Practitioner - Physician Assistant 1355684648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Center Radiologists IncGroup PAC ID 5395640650, 124 clinicians

Practice addresses (Care Compare)

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2465

600 Gresham Dr
Norfolk, VA 23507-1904

830 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 466-6870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.94 of 100Reported as group
Quality
91.31
Improvement activities
40
Cost
79.05

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Mar 14, 2022 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Mar 14, 2022 Accepting new patients

Locations

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

1040 University Blvd
Ste 205
Portsmouth, VA 23703
Phone (757) 484-2272

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

Organizations & group practices 3

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590624000000",
    "number": "1396200994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 SUMMERALL LN APT 103",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233235217",
            "telephone_number": "239-898-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5544 GREENWICH RD STE 200",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234626563",
            "telephone_number": "757-466-8017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENEGAR",
        "first_name": "LAURA",
        "middle_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2020-05-28",
        "certification_date": "2020-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TURNER",
            "middle_name": "KATHRYN",
            "prefix": "MRS.",
            "credential": "PA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

Verify at the official NPI Registry.