LAURA A. FITZSIMMONS PA
NPI 1306839485
Physician Assistant - Medical in Middletown, NY

Q: What is Laura Fitzsimmons's NPI number?

The NPI number for Laura Fitzsimmons is 1306839485. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Laura Fitzsimmons's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Laura Fitzsimmons was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since August 24, 2005PECOS Enrolled

155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: August 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Laura A. Fitzsimmons Pa NPPES

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

LAURA A. FITZSIMMONS PA (NPI 1306839485) is an individual medical provider in Middletown, New York, licensed in New York (005748) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306839485

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameLAURA A. FITZSIMMONSCredential: PA

Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Enumeration DateAugust 24, 2005

Last NPPES UpdateAugust 13, 2020

NPPES CertifiedAugust 13, 2020

✔ NPI 1306839485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 005748

Also ListedPhysician AssistantTaxonomy 363A00000X · License 005748 (NY)

155 CRYSTAL RUN RD, Middletown, NY 10941

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Other Identifiers 1

Medicaid02472851NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Laura A. Fitzsimmons Pa 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.

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.

RAFEEL O SYED MD

Internal Medicine (Nephrology)