Individual provider Active NPI

Laurie Denise Jurkiewicz, CNM NP

  • Registered Nurse
  • San Francisco, CA
National Provider Identifier
1780613828
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN537696 Issued in CA
Practice address
1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518
Phone
(415) 206-5679
Fax
(415) 206-3112
NPI assigned
Jul 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN537696 CA Primary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X NP11219 CA
Advanced Practice Midwife 367A00000X NMW1411 CA

Addresses

Primary practice location

1001 Potrero Ave
RM 6D14
San Francisco, CA 94110-3518

Mailing address

PO Box 7464
San Francisco, CA 94120-7464
Phone (412) 206-3103

Other identifiers 1

IdentifierTypeStateIssuer
NMW014110MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050301000542 CA Practitioner - Certified Nurse Midwife (CNM) 9739132812 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Petaluma Health Center IncGroup PAC ID 9133180375, shared by 8 NPIs, 76 clinicians

Practice addresses (Care Compare)

1179 N McDowell Blvd
Petaluma, CA 94954-6559
Phone (707) 559-7500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN537696CAMDRegistered Nurse
1411CAMDBlind Rehabilitation Specialist/Technologist
NP11219CAMDObstetrics & Gynecology Nurse Practitioner
NMW1411CAMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Jan 15, 2019 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2019 Accepting new patients
University of California San Francisco CurrentSince Jan 15, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 30, 2015 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
UCSF Dept of Surgery CurrentSince Jan 15, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Sep 30, 2015 Accepting new patients
UCSF Medical Group Business Services CurrentSince Jan 15, 2019 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Jan 15, 2019 Accepting new patients
Petaluma Health Center Inc Past Accepting new patients

Locations

1179 N McDowell Blvd
Petaluma, CA 94954

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

1001 Potrero Ave
Rm 6D14
San Francisco, CA 94110
Phone (415) 206-5679

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1780613828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7464",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941207464",
            "telephone_number": "412-206-3103",
            "fax_number": "415-206-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "address_2": "RM 6D14",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "415-206-5679",
            "fax_number": "415-206-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JURKIEWICZ",
        "first_name": "LAURIE",
        "middle_name": "DENISE",
        "credential": "CNM NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN537696",
            "primary": true
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "NP11219",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW1411",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NMW014110",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.