LAURIEL BORTNICK KLINGHOFFER – Anesthesiologist Assistant, NPI 1407102304

LAURIEL BORTNICK KLINGHOFFER is a healthcare provider. based in Boca raton, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold a License No. AA186 (FL). The NPI Number for LAURIEL BORTNICK KLINGHOFFER is 1407102304

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURIEL BORTNICK KLINGHOFFER
NPI
1407102304
Phone
(561) 414-5338
Address
2417 NW 49TH LN
Enumeration Date
28 July 2012
Last Update Date
21 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5618446300
Graduation Year
2012 (14 years ago)
PAC ID
9436309770
Group Practice PAC ID
8426201401
Professional Enrollment ID
I20131011001268
Address ID
FL334072413MA901XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,383 ANESTHESIOLOGY ASSISTANT in GA

Provider Addresses for LAURIEL BORTNICK KLINGHOFFER

  • 2417 NW 49TH LN

    BOCA RATON, FL 334314337

    Phone: (561) 414-5338

    Type: Mailing

  • 11320 SEA GRASS CIR

    BOCA RATON, FL 334984919

    Phone:

    Type: Mailing

  • 501 REDMOND RD NW

    ROME, GA 301651415

    Phone: (706) 291-0921

    Type: Location

  • 901 45TH ST

    MANGONIA PARK, FL 334072413

    Phone: (561) 844-6300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-10-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20121023000650IAnesthesiology AssistantGATBD
I20131011001268IAnesthesiology AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 33431)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426201401View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)CA
Certified Registered Nurse Anesthetist (Crna)CT
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)TN
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
Anesthesiology AssistantFL
Anesthesiology AssistantFL

Reviews

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Frequently asked questions

Is there an official ID for LAURIEL BORTNICK KLINGHOFFER in U.S. healthcare records?
The official identifier for LAURIEL BORTNICK KLINGHOFFER is NPI 1407102304.
Is LAURIEL BORTNICK KLINGHOFFER still an active registrant?
LAURIEL BORTNICK KLINGHOFFER carries an active NPI according to the public dataset.
How would a patient describe LAURIEL BORTNICK KLINGHOFFER's focus?
For LAURIEL BORTNICK KLINGHOFFER, the primary taxonomy reads as Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with LAURIEL BORTNICK KLINGHOFFER?
Directory geography for LAURIEL BORTNICK KLINGHOFFER centers on Boca Raton, Florida.
Does LAURIEL BORTNICK KLINGHOFFER accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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