LAURA LUI
NPI 1104640028
Nurse Practitioner - Family in Ponte Vedra Beach, FL
About Laura Lui NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA LUI (NPI 1104640028) is an individual family provider in Ponte Vedra Beach, Florida, licensed in Florida (APRN11035845) and active in the NPI registry since November 2024. She is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Laura Lui is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Laura Lui reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, FL 32204
- Reassigned Medicare billing, Florida enrollment
- 284 clinicians in this Medicare group
Rockville, MD 20854
- Reassigned Medicare billing, Florida enrollment
- 517 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Shands Jacksonville
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32082 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Lui's NPI number?
The NPI number for Laura Lui is 1104640028. It was assigned to this individual provider in the NPPES registry on November 8, 2024.
Where is Laura Lui located?
Laura Lui practices at 152 Front St, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 285-3634.
What is Laura Lui's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Laura Lui enrolled in Medicare?
Yes. Laura Lui is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Laura Lui's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Lui reassigns Medicare benefits to 2 organizations: Genesiscare Usa Of Florida LLC (Jacksonville, FL) and Minuteclinic LLC (Rockville, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Lui's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Laura Lui affiliated with any hospitals?
According to CMS data, Laura Lui is affiliated with Shands Jacksonville.
When was this NPI record last updated?
The NPPES record for Laura Lui was last updated on January 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Laura Lui · NPI 1104640028
Family physician in Ponte Vedra Beach, Florida. Individual provider, active in the CMS NPPES registry since November 8, 2024.
## Identity
- **NPI:** 1104640028 (Entity type: Individual)
- **Enumerated:** November 8, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11035845 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 152 FRONT ST, Ponte Vedra Beach, FL 32082-3058
- **Phone:** (904) 285-3634
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Genesiscare Usa Of Florida LLC (NPI 1710360508, Jacksonville, FL); Minuteclinic LLC (NPI 1134191836, Rockville, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** January 22, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104640028) · Data from the CMS NPPES public registry.