Individual provider Active NPI

Laurie Pauline Starr, MSN ARNP

  • Family Nurse Practitioner
  • Maple Grove, MN
National Provider Identifier
1760477590
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R1593943 Issued in MN
Practice address
13998 Maple Knoll Way # Ll101
Maple Grove, MN 55369-7004
Phone
(651) 348-8851
Fax
(763) 657-1370
NPI assigned
Sep 19, 2005
Last updated
Sep 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1593943 MN
Family Nurse Practitioner 363LF0000X R1593943 MN Primary

Addresses

Primary practice location

13998 Maple Knoll Way # Ll101
Maple Grove, MN 55369-7004

Mailing address

2999 Troseth Rd
Roseville, MN 55113-1045
Phone (651) 633-3727

Other identifiers 1

IdentifierTypeStateIssuer
847080400MedicaidMN

Other names 1

  • Laurie Pauline Beeson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laurie.starr@53509227347972.direct.elationemr.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20050221000172 MN Practitioner - Nurse Practitioner 5496707234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1593943MNMDFamily Nurse Practitioner
R1593943MNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family Past Accepting new patients
Access Healthcare Services, LLC PastSince Nov 1, 2020 Accepting new patients

Organizations & group practices 2

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1760477590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2999 TROSETH RD",
            "city": "ROSEVILLE",
            "state": "MN",
            "postal_code": "551131045",
            "telephone_number": "651-633-3727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13998 MAPLE KNOLL WAY # LL101",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697004",
            "telephone_number": "651-348-8851",
            "fax_number": "763-657-1370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARR",
        "first_name": "LAURIE",
        "middle_name": "PAULINE",
        "name_prefix": "Mrs.",
        "credential": "MSN ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "1593943",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "R1593943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "847080400",
            "state": "MN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laurie.starr@53509227347972.direct.elationemr.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "13998 Maple Knoll Way # Ll101",
            "city": "Maple Grove",
            "state": "MN",
            "country_code": "US",
            "postal_code": "553697004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "BEESON",
            "middle_name": "PAULINE",
            "credential": "MSN, ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Maple Grove, MN

Sources for this page

Verify at the official NPI Registry.