LAURA M TICE (PA) – Medical Physician Assistant, NPI 1033461520

LAURA M TICE (PA) is a healthcare provider. based in Harrisonburg, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 003606 (OH). The NPI Number for LAURA M TICE (PA) is 1033461520

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
LAURA M TICE (PA)
NPI
1033461520
Phone
(540) 564-5644
Address
PO BOX 1950
Enumeration Date
8 October 2012
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5406891110
Graduation Year
2012 (14 years ago)
PAC ID
1456504216
Group Practice PAC ID
7618270729
Professional Enrollment ID
I20130104000255
Address ID
VA228018679RO2010XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:13State licenses:2Digital endpointsOther names

4,430 PHYSICIAN ASSISTANT in VA

Provider Addresses for LAURA M TICE (PA)

  • PO BOX 1950

    HARRISONBURG, VA 228019502

    Phone: (540) 564-5644

    Fax: (540) 564-6847

    Type: Mailing

  • 1871 EVELYN BYRD AVE

    HARRISONBURG, VA 228013487

    Phone: (540) 564-5800

    Fax: (540) 564-5801

    Type: Location

  • 2006 HEALTH CAMPUS DR STE 300

    ROCKINGHAM, VA 228018679

    Phone: (540) 689-7400

    Fax: (757) 963-9617

    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: 2013-01-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130104000255IPhysician AssistantVATBD

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 22801)

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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: 7618270729View full group profile
NameSpecialtyState
General SurgeryVA
Hospitalist, Internal MedicineVA
Vascular Surgery, General SurgeryVA
-VA
General SurgeryVA
Family PracticeVA
-VA
-VA
-OH
General SurgeryVA

Reviews

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Frequently asked questions

Does LAURA M TICE (PA) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAURA M TICE (PA) uses 1033461520.
Is LAURA M TICE (PA) still practicing?
LAURA M TICE (PA) is currently listed as active in the public NPI registry.
What is LAURA M TICE (PA)'s primary classification?
Medical Physician Assistant is the headline specialty for LAURA M TICE (PA) here. Clinical services aligned with this taxonomy classification.
Where should I expect LAURA M TICE (PA) on a map?
Expect Harrisonburg, Virginia as a primary anchor for LAURA M TICE (PA) unless the record lists multiple sites.
Why does LAURA M TICE (PA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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