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LAURA M DEFRAIA CNP
NPI 1194092957
Nurse Practitioner - Women's Health in Grand Rapids, MI

Active since November 22, 2011PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
4069 LAKE DR SE STE 118, GRAND RAPIDS, MI 49546(616) 267-8520(616) 267-7927 Get Directions Write a Review

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 2, 2021, Aug 31, 2020, May 30, 2017 (3 updates tracked since 2017).

About Laura M Defraia Cnp NPPES

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

LAURA M DEFRAIA CNP (NPI 1194092957) is an individual women's health provider in Grand Rapids, Michigan, licensed in Michigan (4704307776) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1194092957
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLAURA M DEFRAIACredential: CNP
Location Address4069 LAKE DR SE STE 118Grand Rapids, MI 49546-8816
Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560
Phone(616) 267-8520
Fax(616) 267-7927
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateNovember 22, 2011
Last NPPES UpdateMarch 2, 20213 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1194092957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MI · 4704307776
4069 LAKE DR SE STE 118, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include McLaren Health Plan Community, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Laura M Defraia Cnp 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.

PECOS PAC ID2163681669
PECOS Enrollment IDI20170524000646
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
14 services12 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.54
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

ASHLEY GRACE HOXIE DPT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
CLAIRE SPRICH BERKEL LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
DR. ELIZABETH MICHEL HARRIS PT
Physical Therapist
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
JULIA ANN WITTE WHNP-BC
Nurse Practitioner
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LAURA NICOLE LOVE DNP
Nurse Practitioner (Gerontology)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
ELIZABETH ELLEN PAYNE PA
Physician Assistant
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
LUANN VANDERLIND ARNSON LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520
BARBARA ANN MCCLURG LMSW
Social Worker (Clinical)
4069 LAKE DR SE STE 118
GRAND RAPIDS, MI 49546
Kent County (616) 267-8520

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 Defraia's NPI number?

The NPI number for Laura Defraia is 1194092957. It was assigned to this individual provider in the NPPES registry on November 22, 2011.

Where is Laura Defraia located?

Laura Defraia practices at 4069 Lake Dr SE Ste 118, Grand Rapids, MI 49546. The listed phone number is (616) 267-8520.

What is Laura Defraia's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Laura Defraia enrolled in Medicare?

Yes. Laura Defraia 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.

What insurance does Laura Defraia accept?

Health plans from McLaren Health Plan Community and Priority Health list Laura Defraia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Laura Defraia affiliated with any hospitals?

According to CMS data, Laura Defraia is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Laura Defraia was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.