MRS. LAURA MAE VAN FOSSEN RN, CNM
NPI 1104693324
Advanced Practice Midwife in Sewell, NJ
About Mrs. Laura Mae Van Fossen Rn, Cnm NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. LAURA MAE VAN FOSSEN RN, CNM (NPI 1104693324) is an individual advanced practice midwife in Sewell, New Jersey, licensed in New Jersey (25ME00085101) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, is affiliated with Jefferson Stratford Hospital, and maintains a secondary practice location in Philadelphia.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Mrs. Laura Mae Van Fossen Rn, Cnm 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 Van Fossen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Sewell, NJ 08080
- Reassigned Medicare billing, New Jersey enrollment
- 438 clinicians in this Medicare group
Hammonton, NJ 08037
- Reassigned Medicare billing, New Jersey enrollment
- 138 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.
Jefferson Stratford Hospital
Acute Care Hospitals · Stratford, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08080 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Van Fossen's NPI number?
The NPI number for Laura Van Fossen is 1104693324. It was assigned to this individual provider in the NPPES registry on December 7, 2023.
Where is Laura Van Fossen located?
Laura Van Fossen practices at 435 Hurffville- Cross Keys Rd, Sewell, NJ 08080. The listed phone number is (856) 582-2500.
What is Laura Van Fossen's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Laura Van Fossen enrolled in Medicare?
Yes. Laura Van Fossen 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 Van Fossen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Van Fossen reassigns Medicare benefits to 2 organizations: Kennedy Medical Group Practice P.C. (Sewell, NJ) and Southern Jersey Family Medical Centers, Inc (Hammonton, NJ). 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 Van Fossen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Laura Van Fossen affiliated with any hospitals?
According to CMS data, Laura Van Fossen is affiliated with Jefferson Stratford Hospital.
When was this NPI record last updated?
The NPPES record for Laura Van Fossen was last updated on December 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mrs. Laura Mae Van Fossen, RN, CNM · NPI 1104693324
Advanced Practice Midwife physician in Sewell, New Jersey. Individual provider, active in the CMS NPPES registry since December 7, 2023.
## Identity
- **NPI:** 1104693324 (Entity type: Individual)
- **Enumerated:** December 7, 2023
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **State license:** 25ME00085101 (New Jersey)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 435 HURFFVILLE- CROSS KEYS RD, Sewell, NJ 08080
- **Phone:** (856) 582-2500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kennedy Medical Group Practice P.C. (NPI 1598937617, Sewell, NJ); Southern Jersey Family Medical Centers, Inc (NPI 1568473973, Hammonton, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 29, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1104693324) · Data from the CMS NPPES public registry.