Laura Christine Oudshoorn, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

4319 Issued in TN

Practice address

4125 Hunters Park LN
Ste. 117
Orlando, FL 32837-7615

Phone

(407) 636-7385

Fax

(407) 681-4603

NPI assigned

Apr 4, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Laura Christine Huesgen Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in VA

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

Merit-based Incentive Payment System (MIPS)

Final score

90.85 of 100Reported as group

Quality

90.74

Promoting interoperability

100

Improvement activities

40

Cost

78.74

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.

• Virginia Internal Medicine Inc

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1740525245
  Medicare reassignment NPD
• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Mechanicsville, VA
  • NPI 1487671822
  Medicare reassignment
• Orthovirginia Inc

  • Multi-Specialty Clinic/Center
  • Wytheville, VA
  • NPI 1932638921

  Physician Assistant

  NPD
• Orthovirginia, Inc

  • Physical Medicine & Rehabilitation Physician
  • Arlington, VA
  • NPI 1376411413
  NPD
• Orthovirginia, Inc.

  • Multi-Specialty Clinic/Center
  • North Chesterfield, VA
  • NPI 1265470645
  NPD (past)

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1619400975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 PATTERSON ST STE 215",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372036501",
            "telephone_number": "615-342-7345",
            "fax_number": "615-342-7346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 HUNTERS PARK LN",
            "address_2": "STE. 117",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328377615",
            "telephone_number": "407-636-7385",
            "fax_number": "407-681-4603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22 W Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-648-3800",
            "fax_number": "407-425-5203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 Patterson St Ste 215",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372036501",
            "country_code": "US",
            "telephone_number": "615-342-7345",
            "fax_number": "615-342-7346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4125 Hunters Park Ln",
            "address_2": "Ste. 117",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328377615",
            "country_code": "US",
            "telephone_number": "407-636-7385",
            "fax_number": "407-681-4603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OUDSHOORN",
        "first_name": "LAURA",
        "middle_name": "CHRISTINE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2022-01-04",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9110174",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "4319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "LAURA.OUDSHOORN@hca1.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "2400 Patterson St Ste 215",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372036501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "HUESGEN",
            "middle_name": "CHRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Richard B Ottati, CRNA
• Hailey Katherine Otten
• Elizabeth Otto
• Kristen Marie Otto, M.D.
• Benjamin Otwell, BS, RBT
• Guilda Odany Ouellette
• Our Angels Homecare LLC
• Our House Won
• Ourhealth Professional Physician Group, LLC
• Garrett Outland, MA, CCC-SLP

• Physician Assistant in Orlando, FL
• Providers in Orlando, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.