LAURA ANDERSON (DNP APRN-NP) – Nurse Practitioner, NPI 1093110306

LAURA ANDERSON (DNP APRN-NP) is a healthcare provider. based in Grants pass, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP APRN-NP. They hold a License No. 10019535 (OR). The NPI Number for LAURA ANDERSON (DNP APRN-NP) is 1093110306

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
LAURA ANDERSON (DNP APRN-NP)
NPI
1093110306
Phone
(541) 472-4777
Address
1701 NW HAWTHORNE AVE
Enumeration Date
29 October 2014
Last Update Date
9 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5414724777
Graduation Year
2021 (5 years ago)
PAC ID
4789907643
Group Practice PAC ID
6305747288
Professional Enrollment ID
I20240523003917
Address ID
OR975261051GR1701XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:11State licenses:2Digital endpointsOther names

3,379 NURSE PRACTITIONER in OR

Provider Addresses for LAURA ANDERSON (DNP APRN-NP)

  • 1701 NW HAWTHORNE AVE

    GRANTS PASS, OR 975261051

    Phone: (541) 472-4777

    Fax: (541) 471-1439

    Type: Mailing

  • 74 ECLIPSE CTR

    BELOIT, WI 535113550

    Phone: (608) 361-0331

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $216.

Total Amount is formed as General ($216) + Research ($0) + Ownership ($0) = $216.

Last reported payment date: 2024-08-06 • Largest payer in this snapshot: Gilead Sciences, Inc. ($104).

Total Amount

$216

General + Research + Ownership

Payments

7

Total payment records

General Amount

$216

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-05-23

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
I20141229001132INurse PractitionerWITBD
I20240523003917INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97526)

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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: 6305747288View full group profile
NameSpecialtyState
-OR
Nurse PractitionerOR
Family PracticeOR
Physician AssistantOR
Clinical Social WorkerOR
Internal MedicineOR
Nurse PractitionerOR
Nurse PractitionerOR
Nurse PractitionerOR
Family PracticeNH

Reviews

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Frequently asked questions

What unique ID ties claims to LAURA ANDERSON (DNP APRN-NP)?
NPI 1093110306 is assigned to LAURA ANDERSON (DNP APRN-NP) under the national enumeration system.
Is LAURA ANDERSON (DNP APRN-NP) currently active in the NPI registry?
CMS-published data lists LAURA ANDERSON (DNP APRN-NP) as an active registrant.
Does LAURA ANDERSON (DNP APRN-NP) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for LAURA ANDERSON (DNP APRN-NP). Clinical services aligned with this taxonomy classification.
Does LAURA ANDERSON (DNP APRN-NP) practice in Oregon?
You will see Grants Pass, Oregon on file for LAURA ANDERSON (DNP APRN-NP) alongside any extra practice locations.
Is LAURA ANDERSON (DNP APRN-NP) a real provider?
This page reflects official NPPES data for NPI 1093110306. Always confirm identity and privileges with the practice and licensing boards.