Laura Rose Badalucco, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

082615 Issued in IA

Practice address

1701 W Broadway
Council Bluffs, IA 51501-3822

Phone

(712) 256-5600

Fax

(712) 256-3440

NPI assigned

Jun 13, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Aloha Wound Care Group LLCGroup PAC ID 7517192362, 23 clinicians

Queens North Hawaii Community HospitalGroup PAC ID 0143116293, 102 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Straub Clinic and Hospital Hospital, Honolulu, HI, CCN 120022
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Merit-based Incentive Payment System (MIPS)

Final score

97.05 of 100Reported as apm

Quality

89.81

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Queens North Hawaii Community Hospital

  • Orthopaedic Surgery Physician
  • Kamuela, HI
  • NPI 1528049814
  Medicare reassignment Care Compare group NPD
• Aloha Wound Care Group LLC

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Honolulu, HI
  • NPI 1043657141
  Medicare reassignment Care Compare group
• Queens North Hawaii Community Hospital

  • Home Health Agency
  • Kamuela, HI
  • NPI 1124009584
  NPD
• Hawaii Emergency Physicians Associated Inc

  • Emergency Medicine Physician
  • Kailua, HI
  • NPI 1801843198
  NPD (past)
• Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
  • NPI 1477559029
  NPD (past)

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

• Careresource Hawaii

  • Home Health Agency
  • Honolulu, HI
  • NPI 1245299114
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• Straub Clinic & Hospital

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1720031701
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1538518311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013822",
            "telephone_number": "712-256-5600",
            "fax_number": "712-256-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515013822",
            "telephone_number": "712-256-5600",
            "fax_number": "712-256-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADALUCCO",
        "first_name": "LAURA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "082615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• B & R Stores, Inc
• Alisha Baas, DPT
• Madison Babcock
• Karen M Baber, LMHP
• Back and Body Chiropractic LLC
• Amy Christine Badding, M.S.
• Ronald L. Baker, R.PH.
• Jovanna Lynn Balquier
• Jamie E Barnes, PMHNP-BC
• Patrick M Barnes, DPM

• Medical Physician Assistant in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Medical Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.