LAURA DERK HART (PA-C) – Physician Assistant, NPI 1235192832

LAURA DERK HART (PA-C) is a healthcare provider. based in Salem, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. 0110840267 (VA). The NPI Number for LAURA DERK HART (PA-C) is 1235192832

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
LAURA DERK HART (PA-C)
NPI
1235192832
Phone
(540) 982-2463
Address
1970 ROANOKE BLVD
Enumeration Date
7 April 2006
Last Update Date
19 January 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5407760198
Graduation Year
2004 (22 years ago)
PAC ID
4587918602
Group Practice PAC ID
2264430966
Professional Enrollment ID
I20220708000430
Address ID
VA240171138RO4751XNWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for LAURA DERK HART (PA-C)

  • Salem Veterans Affairs Medical Center, 1970, Roanoke Boulevard, Boulevard Estates, Salem, Salem (city), Virginia, 24153, United States

    SALEM, VA 241536404

    Phone: (540) 982-2463

    Fax: (540) 855-3415

    Type: Mailing

  • Salem Veterans Affairs Medical Center, 1970, Roanoke Boulevard, Salem, Virginia, 24153, United States

    SALEM, VA 241536404

    Phone: (540) 982-2463

    Fax: (540) 855-3415

    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: 2022-07-08

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
I20220708000430IPhysician 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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99497Advance care planning, first 30 minutes2423$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes1812$0
View full utilization report →

Insurance plans in this area (ZIP 24153)

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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: 2264430966View full group profile
NameSpecialtyState
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA
Nurse PractitionerVA

Reviews

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Frequently asked questions

Is there an official ID for LAURA DERK HART (PA-C) in U.S. healthcare records?
The official identifier for LAURA DERK HART (PA-C) is NPI 1235192832.
Is there an active status for LAURA DERK HART (PA-C)?
For scheduling context, LAURA DERK HART (PA-C) is shown as active in the registry.
What expertise is attributed to LAURA DERK HART (PA-C)?
LAURA DERK HART (PA-C)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is LAURA DERK HART (PA-C) associated with Salem?
Public fields place LAURA DERK HART (PA-C) around Salem, Virginia. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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