Individual provider Active NPI

Laura Ann Fruci, NP

  • Nurse Practitioner
  • Lewisville, TX
National Provider Identifier
1558466292
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
604766 Issued in TX
Practice address
2560 King Arthur Blvd Ste 124
Lewisville, TX 75056-5818
Phone
(972) 999-5265
Fax
(972) 899-0362
NPI assigned
Sep 14, 2006
Last updated
Apr 13, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 604766 TX Primary

Addresses

Primary practice location

2560 King Arthur Blvd Ste 124
Lewisville, TX 75056-5818

Mailing address

1341 W Mockingbird LN
Suite 240E
Dallas, TX 75247-6913
Phone (214) 638-6600

Other identifiers 7

IdentifierTypeStateIssuer
188538601MedicaidTX
188538603MedicaidTX
188538604MedicaidTX
188538605MedicaidTX
188538602MedicaidTX
607766OtherTXLICENSE
5276070-1OtherNYLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, WY, KS4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20070419000142 NY Practitioner - Nurse Practitioner 6002911039 Reassigns benefits to 1 organization
I20071203000227 TX Practitioner - Nurse Practitioner 6002911039 Reassigns benefits to 2 organizations
I20240310000153 WY Practitioner - Nurse Practitioner 6002911039 Reassigns benefits to 2 organizations
I20240909001291 KS Practitioner - Nurse Practitioner 6002911039 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stgi Health, LLCGroup PAC ID 1850764226, 15 clinicians

Practice addresses (Care Compare)

108 Albright Ave
Yellowstone National Park, WY 82190-9607
Phone (703) 578-6030

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC CurrentSince May 6, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jan 1, 2024 Accepting new patients
Vpa of Texas PLLC CurrentSince May 6, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Mar 15, 2024 Accepting new patients
Stgi Health, LLC CurrentSince Jan 29, 2024 Accepting new patients
Brookview Medical Associates, PLLC Nurse Practitioner CurrentSince Apr 26, 2024 Accepting new patients
Signify Health Medical Associates of Kansas LLC CurrentSince Jun 10, 2024 Accepting new patients
Physicians and Allied Health Professionals Group, PA Nurse Practitioner Past Accepting new patients

Locations

80 Orville Dr
Ste 100
Bohemia, NY 11716
Phone (516) 308-6610

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

2900 S Quincy St
Ste 888
Arlington, VA 22206

1712 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 222-0371

Interoperability endpoints

  • Direct secure messaging: lfruci583211@direct.emplifyhealth.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1558466292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 W MOCKINGBIRD LN",
            "address_2": "SUITE 240E",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476913",
            "telephone_number": "214-638-6600",
            "fax_number": "214-638-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 KING ARTHUR BLVD STE 124",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750565818",
            "telephone_number": "972-999-5265",
            "fax_number": "972-899-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUCI",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "604766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188538601",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188538603",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188538604",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188538605",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "188538602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "607766",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5276070-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.