Individual provider Active NPI

Laura Anne Pence, M.D.

  • Family Medicine Physician
  • Marshall, MI
National Provider Identifier
1548586548
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301105194 Issued in MI
Practice address
720 US Highway 27 N
Marshall, MI 49068-9609
Phone
(269) 781-6600
Fax
(269) 781-9228
NPI assigned
Apr 15, 2010
Last updated
Dec 12, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-058316 IL
Family Medicine Physician 207Q00000X 4301105194 MI Primary

Addresses

Primary practice location

720 US Highway 27 N
Marshall, MI 49068-9609

Mailing address

720 US Highway 27 N
Marshall, MI 49068-9609
Phone (269) 781-6600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20141014000340 MI Practitioner - Family Practice 5799928370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ella E M Brown Charitable CircleGroup PAC ID 1254228745, 172 clinicians

Practice addresses (Care Compare)

200 N Madison St
Marshall, MI 49068-1143
Phone (269) 781-4271

375 N Willowbrook Rd
Oaklawn Medical Group
Coldwater, MI 49036-8847
Phone (517) 924-1605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.06 of 100Reported as group
Quality
85.32
Promoting interoperability
100
Improvement activities
40
Cost
71.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125-058316ILMDFamily Medicine Physician
4301105194MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ella E M Brown Charitable Circle CurrentSince Oct 27, 2014 Accepting new patients
Ella E M Brown Charitable Circle Family Medicine CurrentSince Oct 27, 2014 Accepting new patients
Ella E M Brown Charitable Circle Past Accepting new patients
Ella E. M. Brown Charitable Circle Past Accepting new patients

Locations

375 N Willowbrook Rd
Coldwater, MI 49036
Phone (517) 924-1605

200 N Madison St
Marshall, MI 49068
Phone (269) 789-3921

720 US Highway 27 N
Marshall, MI 49068
Phone (269) 781-6600

215 E Mansion St
Ste 1E
Marshall, MI 49068
Phone (269) 781-3938

2218 US Highway 27 N
Tekonsha, MI 49092
Phone (517) 767-4038

Interoperability endpoints

  • Direct secure messaging: laura.ann.pence.1@9698.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1548586548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609",
            "telephone_number": "269-781-6600",
            "fax_number": "269-781-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 US HIGHWAY 27 N",
            "city": "MARSHALL",
            "state": "MI",
            "postal_code": "490689609",
            "telephone_number": "269-781-6600",
            "fax_number": "269-781-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENCE",
        "first_name": "LAURA",
        "middle_name": "ANNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-15",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-058316",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301105194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marshall, MI

Sources for this page

Verify at the official NPI Registry.