DR. LAURA JANE DELERUYELLE DNP
NPI 1396946968
Nurse Practitioner - Family in Medford, OR

Q: What is Laura Deleruyelle's NPI number?

The NPI number for Laura Deleruyelle is 1396946968. It was assigned to this individual provider in the NPPES registry on May 30, 2007.

Q: What is Laura Deleruyelle's specialty?

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

Q: Is Laura Deleruyelle enrolled in Medicare?

No. Laura Deleruyelle has opted out of Medicare through October 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Laura Deleruyelle was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 May 30, 2007Opted out of Medicare · through Oct 1, 2027

3144 STATE ST, MEDFORD, OR 97504(541) 773-9772(541) 773-1113 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Feb 15, 2018 (2 updates tracked since 2018).

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About Dr. Laura Jane Deleruyelle Dnp NPPES

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

DR. LAURA JANE DELERUYELLE DNP (NPI 1396946968) is an individual family provider in Medford, Oregon, licensed in Oregon (201709802NP) and active in the NPI registry since May 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer and maintains a secondary practice location in Banner Elk.

NPPES Registry Identity

NPI1396946968

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameDR. LAURA JANE DELERUYELLECredential: DNP

Location Address3144 STATE STMedford, OR 97504-8450

Mailing Address3144 State StMedford, OR 97504-8450 · (541) 773-9772 · Fax (541) 773-1113

Phone(541) 773-9772

Fax(541) 773-1113

Sole ProprietorNo

Enumeration DateMay 30, 2007

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1396946968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in OR · 201709802NP✔ Licensed in NC · 5004960

Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP2859852 (FL)

3144 STATE ST, Medford, OR 97504

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Secondary Practice Location 1

Location 1108 Park AvenueBanner Elk, NC 28604-6604 · Phone (828) 898-4091 · Fax (828) 898-4096

Other Identifiers 1

OtherY8929FL · Blue Cross/blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Laura Jane Deleruyelle Dnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2021 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2021

Opt-Out In Effect ThroughOctober 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97504 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$97.16 typical visit price

range $17.68 – $136.19

Typical copayment $24.29 (range $4.42 – $34.04)

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.

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Other Providers at the Same Location NPPES 12

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

RIVER ROCK FAMILY PRACTICE PC

Nurse Practitioner (Family)