DR. LAURA KATHRYN AVERY FNP-C
NPI 1114566007
Nurse Practitioner - Family in Hackensack, NJ

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since December 26, 2019PECOS Enrolled

155 POLIFLY RD, HACKENSACK, NJ 07601(551) 996-8697(201) 441-9963 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2023, Dec 26, 2019 (2 updates tracked since 2019).

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About Dr. Laura Kathryn Avery Fnp-c NPPES

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

DR. LAURA KATHRYN AVERY FNP-C (NPI 1114566007) is an individual family provider in Hackensack, New Jersey, licensed in New Jersey (26NJ00948000) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114566007

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. LAURA KATHRYN AVERYCredential: FNP-C

Location Address155 POLIFLY RDHackensack, NJ 07601-1758

Mailing Address155 Polifly Rd Ste 101Hackensack, NJ 07601-1749 · (551) 996-8697 · Fax (201) 441-9963

Phone(551) 996-8697

Fax(201) 441-9963

Sole ProprietorNo

Enumeration DateDecember 26, 2019

Last NPPES UpdateFebruary 28, 20242 updates tracked since enumeration

NPPES CertifiedOctober 9, 2023

✔ NPI 1114566007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in NJ · 26NJ00948000

Also ListedNurse PractitionerTaxonomy 363L00000X · License 26NJ00948000 (NJ)

155 POLIFLY RD, Hackensack, NJ 07601

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura Kathryn Avery Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.