LAURA RAE SHIRLEY CNP
NPI 1639769284
Nurse Practitioner - Family in Grand Rapids, MI
About Laura Rae Shirley Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA RAE SHIRLEY CNP (NPI 1639769284) is an individual family provider in Grand Rapids, Michigan, licensed in Michigan (4704425190) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System In Red Wing, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Laura Rae Shirley 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.
Medicare Billing Reassignments
2Medicare enrollment records show Laura Shirley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Grand Rapids, MI 49546
- Reassigned Medicare billing, Michigan enrollment
- 2,446 clinicians in this Medicare group
Red Wing, MN 55066
- Reassigned Medicare billing, Minnesota enrollment
- 1,571 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Health System In Red Wing
Acute Care Hospitals · Red Wing, MNPhysician 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.
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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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 Shirley's NPI number?
The NPI number for Laura Shirley is 1639769284. It was assigned to this individual provider in the NPPES registry on January 18, 2021. The provider is also known as Laura Rae Watson.
Where is Laura Shirley located?
Laura Shirley practices at 4069 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 267-7469.
What is Laura Shirley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Laura Shirley enrolled in Medicare?
Yes. Laura Shirley 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.
Which organizations bill Medicare for Laura Shirley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Laura Shirley reassigns Medicare benefits to 2 organizations: Spectrum Health Primary Care Partners (Grand Rapids, MI) and Mayo Clinic Health System-Southeast Minnesota Region (Red Wing, MN). Each 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 Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Laura Shirley accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Laura Shirley 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 Shirley affiliated with any hospitals?
According to CMS data, Laura Shirley is affiliated with Mayo Clinic Health System In Red Wing.
When was this NPI record last updated?
The NPPES record for Laura Shirley was last updated on September 15, 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.
# Laura Rae Shirley, CNP · NPI 1639769284
Family physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since January 18, 2021.
## Identity
- **NPI:** 1639769284 (Entity type: Individual)
- **Enumerated:** January 18, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704425190 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4069 LAKE DR SE, Grand Rapids, MI 49546-8816
- **Phone:** (616) 267-7469
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Spectrum Health Primary Care Partners (NPI 1043655780, Grand Rapids, MI); Mayo Clinic Health System-Southeast Minnesota Region (NPI 1114453883, Red Wing, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1639769284) · Data from the CMS NPPES public registry.