Individual provider Active NPI

Laura Catherine Pauley, CNP

  • Adult Health Nurse Practitioner
  • Olmsted TWP, OH
National Provider Identifier
1639553191
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
COA.17688-NP Issued in OH
Practice address
26376 John Rd
Olmsted TWP, OH 44138-1277
Phone
(440) 235-7100
NPI assigned
Jul 15, 2015
Last updated
Oct 31, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X COA.17688-NP OH Primary

Addresses

Primary practice location

26376 John Rd
Olmsted TWP, OH 44138-1277

Mailing address

26376 John Rd
Olmsted TWP, OH 44138-1277
Phone (440) 235-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20150831000286 OH Practitioner - Nurse Practitioner 9436465978 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Medical Practice LLCGroup PAC ID 9931458999, 6 clinicians

Practice addresses (Care Compare)

21851 Ctr Ridge Rd
Suite 109
Rocky River, OH 44116-3901
Phone (440) 331-5488

30701 Lorain Rd a
North Olmsted, OH 44070-6325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
COA.17688-NPOHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Medical Practice, LLC CurrentSince Sep 1, 2018 Accepting new patients

Locations

21851 Center Ridge Rd
Ste 109
Rocky River, OH 44116
Phone (440) 331-5488

Organizations & group practices 1

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": "1436918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1639553191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26376 JOHN RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381277",
            "telephone_number": "440-235-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26376 JOHN RD",
            "city": "OLMSTED TWP",
            "state": "OH",
            "postal_code": "441381277",
            "telephone_number": "440-235-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULEY",
        "first_name": "LAURA",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-15",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "COA.17688-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olmsted TWP, OH

Sources for this page

Verify at the official NPI Registry.