Laura Jane Deleruyelle, DNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

201709802NP Issued in OR

Practice address

3144 State St
Medford, OR 97504-8450

Phone

(541) 773-9772

Fax

(541) 773-1113

NPI assigned

May 30, 2007

Last updated

Mar 17, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Comprehensive Management Systems, Inc.

  dba Community Medical Clinic

  • Rural Health Clinic/Center
  • Bradenton, FL
  • NPI 1770505810
  NPD (past) Authorized official
• Holistic Medical Clinic of the Carolinas LLC

  • Family Medicine Physician
  • Wilkesboro, NC
  • NPI 1023078854
  NPD (past)
• Jeffrey Friedlander Inc

  dba Jeffrey Friedlander MD

  • Neurology Physician
  • Sarasota, FL
  • NPI 1902965270
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1396946968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3144 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-773-9772",
            "fax_number": "541-773-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3144 STATE ST",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048450",
            "telephone_number": "541-773-9772",
            "fax_number": "541-773-1113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "108 Park Avenue",
            "address_purpose": "LOCATION",
            "city": "Banner Elk",
            "state": "NC",
            "postal_code": "286046604",
            "country_code": "US",
            "telephone_number": "828-898-4091",
            "fax_number": "828-898-4096",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELERUYELLE",
        "first_name": "LAURA",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2859852",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5004960",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201709802NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "Y8929",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Andrew Dekorte, DPM
• Michele Dekorte, MD
• Julian Hettich Del Castillo, DPT
• Dawn Mariana Del Rio
• Andrew Delcarlo, PA-C
• Rylee Annemarie Deley, COTA/L
• Delia Smith Physical Therapy PC
• Curtis Gregory Delplanche, O.D., M.D.
• Jennifer L Deltour, MSN-FNP
• Patricia Demaio, MSN

• Family Nurse Practitioner in Medford, OR
• Providers in Medford, OR by specialty
• Family Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.