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LAURA J HENSELER M.D.
NPI 1073575049
Internal Medicine - Addiction Medicine in Providence, RI

Active since April 05, 2006Opted out of Medicare · through Apr 3, 2027
146 W RIVER ST # 11A, PROVIDENCE, RI 02904(401) 793-8770(401) 793-8709 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 18, 2024, Nov 20, 2018 (2 updates tracked since 2018).

About Laura J Henseler M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA J HENSELER M.D. (NPI 1073575049) is an individual addiction medicine provider in Providence, Rhode Island, licensed in Rhode Island (MD10303) and active in the NPI registry since April 2006. She has opted out of Medicare through April 3, 2027 and remains eligible to order and refer and maintains a secondary practice location in East Greenwich.

NPPES Registry Identity

NPI1073575049
Entity TypeIndividualFemale
Primary Taxonomy207RA0401X
Provider Legal NameLAURA J HENSELERCredential: M.D.
Location Address146 W RIVER ST # 11AProvidence, RI 02904-2609
Mailing Address3461 S County TrlEast Greenwich, RI 02818-1465 · (401) 471-6760 · Fax (401) 471-6765
Phone(401) 793-8770
Fax(401) 793-8709
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateNovember 18, 20242 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1073575049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0401X
License✔ Licensed in RI · MD10303
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 10303 (RI)
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD10303 (RI)
146 W RIVER ST # 11A, Providence, RI 02904
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Secondary Practice Location 1

Location 13461 S County TrlEast Greenwich, RI 02818-1465 · Phone (401) 471-6760 · Fax (401) 471-6765

Other Identifiers 1

MedicaidPENDINGRI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laura J Henseler M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2025 through April 3, 2027.

Opt-Out Effective DateApril 3, 2025
Opt-Out In Effect ThroughApril 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
58 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02904 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Henseler's NPI number?

The NPI number for Laura Henseler is 1073575049. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Laura Henseler located?

Laura Henseler practices at 146 W River St # 11A, Providence, RI 02904. The listed phone number is (401) 793-8770.

What is Laura Henseler's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Is Laura Henseler enrolled in Medicare?

No. Laura Henseler has opted out of Medicare through April 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Laura Henseler was last updated on November 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.