Individual provider Active NPI

Jessica Lynn Lauria, NP

  • Nurse Practitioner
  • Bay City, MI
National Provider Identifier
1801370473
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
4704311325 Issued in MI
Practice address
4497 Sheffield PL
Bay City, MI 48706-2554
Phone
(989) 894-8400
NPI assigned
Sep 19, 2018
Last updated
Sep 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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 4704311325 MI Primary

Addresses

Primary practice location

4497 Sheffield PL
Bay City, MI 48706-2554

Mailing address

3896 Sagatoo Rd
Standish, MI 48658-9518
Phone (989) 714-4686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20181023002590 MI Practitioner - Nurse Practitioner 6103179031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saginaw Valley Medical College - NLG, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brent M Boyce MD PCGroup PAC ID 9931007838, 9 clinicians

Practice addresses (Care Compare)

106 E Main St
Sebewaing, MI 48759-1568
Phone (989) 883-3800

4497 Sheffield PL
Bay City, MI 48706-2554
Phone (989) 883-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90 of 100Reported as individual
Quality
80
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4704311325MIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brent M Boyce MD PC CurrentSince Oct 23, 2018 Accepting new patients
Covenant Medical Center, Inc Past Accepting new patients

Locations

4497 Sheffield Pl
Bay City, MI 48706
Phone (989) 883-3800

106 E Main St
Sebewaing, MI 48759
Phone (989) 883-3530

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.

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": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1801370473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3896 SAGATOO RD",
            "city": "STANDISH",
            "state": "MI",
            "postal_code": "486589518",
            "telephone_number": "989-714-4686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4497 SHEFFIELD PL",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487062554",
            "telephone_number": "989-894-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAURIA",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704311325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

Verify at the official NPI Registry.