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LAURIE B TEAL PMHNP
NPI 1114447166
Nurse Practitioner - Psychiatric/Mental Health in Shushan, NY

Active since June 21, 2017Opted out of Medicare · through Dec 7, 2026
725 JUNIPER SWAMP RD, SHUSHAN, NY 12873(518) 812-6842(518) 338-0174 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2022, Jul 6, 2017, Jun 29, 2017 and 1 more (4 updates tracked since 2017).

About Laurie B Teal Pmhnp NPPES

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

LAURIE B TEAL PMHNP (NPI 1114447166) is an individual psychiatric/mental health provider in Shushan, New York, licensed in Vermont (101-0131597) and active in the NPI registry since June 2017. She has opted out of Medicare through December 7, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1114447166
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAURIE B TEALCredential: PMHNP
Location Address725 JUNIPER SWAMP RDShushan, NY 12873-2910
Mailing Address725 Juniper Swamp RdShushan, NY 12873-2910 · (518) 812-6842 · Fax (518) 338-0174
Phone(518) 812-6842
Fax(518) 338-0174
Sole ProprietorYes
Enumeration DateJune 21, 2017
Last NPPES UpdateMarch 10, 20224 updates tracked since enumeration
NPPES CertifiedMarch 10, 2022
✔ NPI 1114447166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VT · 101-0131597
725 JUNIPER SWAMP RD, Shushan, NY 12873
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Laurie B Teal Pmhnp 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 December 7, 2018 through December 7, 2026.

Opt-Out Effective DateDecember 7, 2018
Opt-Out In Effect ThroughDecember 7, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12873 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURIE B TEAL INTEGRATIVE WELLNESS NP IN PSYCHIATRY, PLLC
Nurse Practitioner (Psychiatric/Mental Health)
725 JUNIPER SWAMP RD
SHUSHAN, NY 12873
Washington County (518) 812-6842

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 Laurie Teal's NPI number?

The NPI number for Laurie Teal is 1114447166. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Laurie Teal located?

Laurie Teal practices at 725 Juniper Swamp Rd, Shushan, NY 12873. The listed phone number is (518) 812-6842.

What is Laurie Teal's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Laurie Teal enrolled in Medicare?

No. Laurie Teal has opted out of Medicare through December 7, 2026. 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 Laurie Teal was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.