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DR. LAURA MARIE MUDRAK DC LAC
NPI 1366594673
Acupuncturist in St Paul, MN

Active since January 17, 2007
821 RAYMOND AVE, #110, ST PAUL, MN 55114(651) 690-5543(651) 251-1183 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Laura Marie Mudrak Dc Lac NPPES

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

DR. LAURA MARIE MUDRAK DC LAC (NPI 1366594673) is an individual acupuncturist in St Paul, Minnesota, licensed in Minnesota (1234) and active in the NPI registry since January 2007. She is a graduate of Northwestern College Of Chiropractic (1992).

NPPES Registry Identity

NPI1366594673
Entity TypeIndividualFemale
Primary Taxonomy171100000X
Provider Legal NameDR. LAURA MARIE MUDRAKCredential: DC LAC
Location Address821 RAYMOND AVE, #110St Paul, MN 55114
Mailing Address821 Raymond Ave, #110St Paul, MN 55114 · (651) 690-5543 · Fax (651) 251-1183
Phone(651) 690-5543
Fax(651) 251-1183
Sole ProprietorNo
Medical School CMSNorthwestern College Of ChiropracticGraduated 1992
Enumeration DateJanuary 17, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1366594673 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in MN · 1234
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Also ListedChiropractorTaxonomy 111N00000X · License 3109 (MN)
821 RAYMOND AVE, St Paul, MN 55114
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Laura Marie Mudrak Dc Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547445819
PECOS Enrollment IDI20110502000176

Medicare Billing Reassignment

Medicare enrollment records show Laura Mudrak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hands On Heart Holistic Healthcare, P.A.
Same address
Chiropractor
821 RAYMOND AVE STE 110, 110
Saint Paul, MN 55114
  • Reassigned Medicare billing, Minnesota enrollment
NPI 1689965899 (665) 169-0554

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MS. SHERIE LOU BOSAK LICSW
Social Worker (Clinical)
821 RAYMOND AVE, #300
SAINT PAUL, MN 55114
Ramsey County (651) 645-0438
MARY BETH WIENS L.P.
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Ramsey County (651) 645-8300
TINA WATSON WIENS MA, LMFT
Marriage & Family Therapist
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Ramsey County (651) 642-9317
META RESOURCES P.A.
Psychologist (Clinical)
821 RAYMOND AVE, SUITE 440
SAINT PAUL, MN 55114
Ramsey County (651) 642-9317
MS. MARIANNE P KELLEY PSYD LP
Psychologist
821 RAYMOND AVE, #200
ST PAUL, MN 55114
Ramsey County (651) 645-8300
NICHOLAS FLIER LLC
Counselor (Professional)
821 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (612) 860-3568
DR. JAMES L HAWKINS PHD
Psychologist
821 RAYMOND AVE, SUITE 200
SAINT PAUL, MN 55114
Ramsey County (612) 526-7361
RANDI KRISTIN BORN M.A., L.M.F.T.
Marriage & Family Therapist
821 RAYMOND AVE
SAINT PAUL, MN 55114
Ramsey County (763) 412-8013

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 Mudrak's NPI number?

The NPI number for Laura Mudrak is 1366594673. It was assigned to this individual provider in the NPPES registry on January 17, 2007.

Where is Laura Mudrak located?

Laura Mudrak practices at 821 Raymond Ave #110, St Paul, MN 55114. The listed phone number is (651) 690-5543.

What is Laura Mudrak's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

Is Laura Mudrak enrolled in Medicare?

Yes. Laura Mudrak is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Laura Mudrak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Mudrak reassigns Medicare benefits to Hands On Heart Holistic Healthcare, P.A. (Saint Paul, MN). The 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 Laura Mudrak'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 Laura Mudrak was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.