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LAURA LIEDLE
NPI 1689373326
Physician Assistant in Malden, MA

Active since March 02, 2023PECOS Enrolled
16 GOULD AVE UNIT 1, MALDEN, MA 02148(858) 245-5987 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2024, Mar 2, 2023 (2 updates tracked since 2023).

About Laura Liedle NPPES

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

LAURA LIEDLE (NPI 1689373326) is an individual physician assistant in Malden, Massachusetts and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689373326
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA LIEDLE
Location Address16 GOULD AVE UNIT 1Malden, MA 02148-6913
Mailing Address136 Harrison Ave # M&v510Boston, MA 02111-1817
Phone(858) 245-5987
Sole ProprietorYes
Enumeration DateMarch 2, 2023
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2023
✔ NPI 1689373326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
16 GOULD AVE UNIT 1, Malden, MA 02148
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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 Liedle 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02148 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$78.84 typical visit price
range $21.07 – $155.29
Typical copayment $19.71 (range $5.26 – $38.82)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Liedle's NPI number?

The NPI number for Laura Liedle is 1689373326. It was assigned to this individual provider in the NPPES registry on March 2, 2023.

Where is Laura Liedle located?

Laura Liedle practices at 16 Gould Ave Unit 1, Malden, MA 02148. The listed phone number is (858) 245-5987.

What is Laura Liedle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Liedle enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Laura Liedle was last updated on May 14, 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.