Active NPI
Laura Flores Bauleke, MD
- Family Medicine Physician
- Olympia, WA
National Provider Identifier
1831658103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD61259645
- Practice address
- 1620 Cooper Point Rd SW
Olympia, WA 98502-5736 - Phone
- (360) 486-6710
- Fax
- (360) 705-0269
- NPI assigned
- Mar 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD61259645 | WA | Primary |
Addresses
Primary practice location
1620 Cooper Point Rd SW
Olympia, WA 98502-5736
Mailing address
PO Box 3360
Portland, OR 97208-3360
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230404002285 | WA | Practitioner - Family Practice | 0547635526 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Providence Health and Services Washington
Practice addresses (Care Compare)
1620 Cooper Point Rd SW
Olympia, WA 98502-5736
Phone (306) 486-6710
Hospital & facility affiliations
- Assured Home Health and Hospice
- Providence at Home With Compassus, Puget Sound South
- Providence St Peter Hospital
- Providence Centralia Hospital
- Capital Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61259645 | WA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health & Services Washington | Family Medicine | Current | Accepting new patients |
Locations
1620 Cooper Point Rd SW
Olympia, WA 98502
Phone (360) 486-6710
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Interoperability endpoints
- lbauleke797665@wm.providencedirect.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
Family Medicine, WA
-
- Clinic/Center
- Lacey, WA
- NPI 1215431697
-
- Rural Health Clinic/Center
- Centralia, WA
- NPI 1225763949
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lacey, WA
- NPI 1669294708
-
- Home Health Agency
- Centralia, WA
- NPI 1154397305
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1346250594
Hospital
-
- General Acute Care Hospital
- Centralia, WA
- NPI 1376624981
Hospital
-
- General Acute Care Hospital
- Olympia, WA
- NPI 1619176997
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1831658103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3360",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972083360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 COOPER POINT RD SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985025736",
"telephone_number": "360-486-6710",
"fax_number": "360-705-0269"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAULEKE",
"first_name": "LAURA",
"middle_name": "FLORES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-17",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WA",
"license": "MD61259645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.