MS. LAUREL KATE DEFOGGI FNP-BC
NPI 1356195200
Nurse Practitioner - Family in Eagle, ID

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment
951 E PLAZA DR STE 110, EAGLE, ID 83616(208) 274-9580 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Laurel Kate Defoggi Fnp-bc NPPES

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

MS. LAUREL KATE DEFOGGI FNP-BC (NPI 1356195200) is an individual family provider in Eagle, Idaho, licensed in Idaho (79174) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1356195200
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. LAUREL KATE DEFOGGICredential: FNP-BC
Location Address951 E PLAZA DR STE 110Eagle, ID 83616-6567
Mailing Address951 E Plaza Dr Ste 110Eagle, ID 83616-6567 · (208) 274-9580
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 16, 2024
NPPES CertifiedApril 16, 2024
NPI 1356195200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · 79174
951 E PLAZA DR STE 110, Eagle, ID 83616

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

Ms. Laurel Kate Defoggi Fnp-bc 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 ID648713891
PECOS Enrollment IDI20240617002564
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 83616 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 4

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
951 E PLAZA DR STE 110
EAGLE, ID 83616
Nurse Practitioner (Family)
951 E PLAZA DR STE 110
EAGLE, ID 83616
Internal Medicine (Endocrinology, Diabetes & Metabolism)
951 E PLAZA DR STE 110
EAGLE, ID 83616
Physician Assistant
951 E PLAZA DR STE 110
EAGLE, ID 83616

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 Defoggi's NPI number?

The NPI number for Laurel Defoggi is 1356195200. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Where is Laurel Defoggi located?

Laurel Defoggi practices at 951 E Plaza Dr Ste 110, Eagle, ID 83616. The listed phone number is (208) 274-9580.

What is Laurel Defoggi's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Laurel Defoggi enrolled in Medicare?

Yes. Laurel Defoggi 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.

When was this NPI record last updated?

The NPPES record for Laurel Defoggi was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.