LAUREL ANN HAEUSSLEIN RN, NP
NPI 1144745712
Nurse Practitioner in San Jose, CA
About Laurel Ann Haeusslein Rn, Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREL ANN HAEUSSLEIN RN, NP (NPI 1144745712) is an individual nurse practitioner in San Jose, California, licensed in California (95007240) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Laurel Ann Haeusslein Rn, Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Laurel Haeusslein reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Palo Alto, CA 94301
- Reassigned Medicare billing, California enrollment
- 4,479 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 761 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 1,159 clinicians in this Medicare group
San Francisco, CA 94143
- Reassigned Medicare billing, California enrollment
- 5,645 clinicians in this Medicare group
San Francisco, CA 94122
- Reassigned Medicare billing, California enrollment
- 5,544 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 95124 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.
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
SAN JOSE, CA 95124
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 Laurel Haeusslein's NPI number?
The NPI number for Laurel Haeusslein is 1144745712. It was assigned to this individual provider in the NPPES registry on August 4, 2017.
Where is Laurel Haeusslein located?
Laurel Haeusslein practices at 2577 Samaritan Dr Ste 725, San Jose, CA 95124. The listed phone number is (408) 523-3960.
What is Laurel Haeusslein's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Laurel Haeusslein enrolled in Medicare?
Yes. Laurel Haeusslein is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Laurel Haeusslein's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laurel Haeusslein reassigns Medicare benefits to 5 organizations: Sutter Bay Medical Foundation (Palo Alto, CA), Ucsf Dept Of Surgery (San Francisco, CA), Ucsf Pediatrics Associates (San Francisco, CA), University Of California San Francisco (San Francisco, CA) and Ucsf Medical Group Business Services (San Francisco, CA). 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 Laurel Haeusslein's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Laurel Haeusslein was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Laurel Ann Haeusslein, RN, NP · NPI 1144745712
Nurse Practitioner physician in San Jose, California. Individual provider, active in the CMS NPPES registry since August 4, 2017.
## Identity
- **NPI:** 1144745712 (Entity type: Individual)
- **Enumerated:** August 4, 2017
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 95007240 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 2577 SAMARITAN DR STE 725, San Jose, CA 95124-4105
- **Phone:** (408) 523-3960
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Sutter Bay Medical Foundation (NPI 1013950807, Palo Alto, CA); Ucsf Dept Of Surgery (NPI 1477627537, San Francisco, CA); Ucsf Pediatrics Associates (NPI 1376614016, San Francisco, CA); University Of California San Francisco (NPI 1346329380, San Francisco, CA); Ucsf Medical Group Business Services (NPI 1477624104, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1144745712) · Data from the CMS NPPES public registry.