LAURA MARIE ALLEN (PA-C) – Medical Physician Assistant, NPI 1164930046

LAURA MARIE ALLEN (PA-C) is a healthcare provider. based in Roanoke, Virginia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0010-07801 (NC). The NPI Number for LAURA MARIE ALLEN (PA-C) is 1164930046

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
LAURA MARIE ALLEN (PA-C)
NPI
1164930046
Phone
(540) 362-0360
Address
3716 MELROSE AVE NW
Enumeration Date
13 January 2018
Last Update Date
6 March 2024

Doctor Profile

Medical School Name
BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Secondary Phone
5403620360
Graduation Year
2017 (9 years ago)
PAC ID
7315208097
Group Practice PAC ID
1052308632
Professional Enrollment ID
I20191018002278
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

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Provider Addresses for LAURA MARIE ALLEN (PA-C)

  • New Horizons Healthcare, 3716, Melrose Avenue Northwest, Grove Park, Roanoke, Salem (city), Virginia, 24017, United States

    ROANOKE, VA 24017

    Phone: (540) 362-0360

    Type: Location

  • 4647 Fairview Dr Apt 100

    Wilmington, NC 284123680

    Phone: (540) 230-6141

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Dynasplint Systems Inc. ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-10

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Dynasplint Systems Inc.$17
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: 2019-10-18

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
I20191018002278IPhysician 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 24017)

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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: 1052308632View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Family PracticeVA
Registered Dietitian Or Nutrition ProfessionalVA
-VA
Nurse PractitionerVA
Nurse PractitionerVA
Clinical Social WorkerVA
Clinical Social WorkerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Can I verify LAURA MARIE ALLEN (PA-C) with an NPI only?
You can start verification with NPI 1164930046 for LAURA MARIE ALLEN (PA-C), then check state licensing separately.
Does CMS list LAURA MARIE ALLEN (PA-C) as active?
Yes — LAURA MARIE ALLEN (PA-C) is active in the NPI listing used on this page.
What is LAURA MARIE ALLEN (PA-C)'s specialty?
The listing groups LAURA MARIE ALLEN (PA-C) with Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What area does LAURA MARIE ALLEN (PA-C) serve?
LAURA MARIE ALLEN (PA-C)'s listing highlights Roanoke, Virginia; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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