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LAURA MARIE DE LA TORRE APRN
NPI 1821316399
Nurse Practitioner - Psychiatric/Mental Health in Lexington, KY

Active since May 09, 2010PECOS EnrolledAccepts Medicare Assignment
60.28/100
CMS Quality Rating
3101 BEAUMONT CENTRE CIR STE 100, LEXINGTON, KY 40513(859) 323-5544(859) 257-9286 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 7, 2022, Sep 24, 2021, Nov 13, 2019 and 1 more (4 updates tracked since 2016).

About Laura Marie De La Torre Aprn NPPES

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

LAURA MARIE DE LA TORRE APRN (NPI 1821316399) is an individual psychiatric/mental health provider in Lexington, Kentucky, licensed in Kentucky (3013955) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lexington, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1821316399
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAURA MARIE DE LA TORRECredential: APRN
Location Address3101 BEAUMONT CENTRE CIR STE 100Lexington, KY 40513-1959
Mailing Address1351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · (859) 253-1686
Phone(859) 323-5544
Fax(859) 257-9286
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateMay 9, 2010
Last NPPES UpdateFebruary 2, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2024
✔ NPI 1821316399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in KY · 3013955✔ Licensed in CA · 21222✔ Licensed in TX · AP140082
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3013955 (KY)
3101 BEAUMONT CENTRE CIR STE 100, Lexington, KY 40513
Open in Google Maps ↗

Secondary Practice Location 1

Location 11351 Newtown Pike Bldg 1Lexington, KY 40511-1277 · Phone (859) 253-1686

Other Identifiers 1

Medicaid1790731081KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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 Marie De La Torre Aprn 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 ID6103075601
PECOS Enrollment IDI20210819001148
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Laura De La Torre reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Kentucky
0.8 mi
General Practice
2195 HARRODSBURG RD STE 175
Lexington, KY 40504
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,761 clinicians in this Medicare group
NPI 1194852582 (859) 257-9272
New Vista Of The Bluegrass Inc
4.2 mi
Mental Health (Including Community Mental Health Center)
627 W 4TH ST, ALLEN BLDG.
Lexington, KY 40508
  • Reassigned Medicare billing, Kentucky enrollment
  • 141 clinicians in this Medicare group
NPI 1780624668 (859) 253-1686
Shc Medical Partners Of Kentucky, LLC
58 mi
Nurse Practitioner
2529 SIX MILE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 107 clinicians in this Medicare group
NPI 1417132614 (502) 491-5560
Riverside Psychiatric Medical Group
1,852 mi
Mental Health (Including Community Mental Health Center)
5887 BROCKTON AVE, STE A RIVERSIDE PSYCHIATRIC MEDICAL GROUP
Riverside, CA 92506
  • Reassigned Medicare billing, California enrollment
  • 12 clinicians in this Medicare group
NPI 1972691228 (951) 275-8500

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40513 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

60.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.81
Improvement Activities40
Cost99.79

Other Providers at the Same Location NPPES 16

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

REMINGTON KYLE JONES PA
Physician Assistant
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
DEREK WALTER FORSTER MD
Internal Medicine (Infectious Disease)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
STEVEN KYLE HOUGH PA-C
Physician Assistant
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
ARMAGHAN-E-REHMAN MANSOOR MD
Internal Medicine (Infectious Disease)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
DR. ALEXANDER O POMAKOV MD
Internal Medicine (Infectious Disease)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
BRITTANY MONROE LCSW
Social Worker (Clinical)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
DORIE KOGUT APRN, DNP
Nurse Practitioner (Family)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544
ASHLEY LOGAN PHARMD
Pharmacist (Infectious Diseases)
3101 BEAUMONT CENTRE CIR STE 100
LEXINGTON, KY 40513
Fayette County (859) 323-5544

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 De La Torre's NPI number?

The NPI number for Laura De La Torre is 1821316399. It was assigned to this individual provider in the NPPES registry on May 9, 2010.

Where is Laura De La Torre located?

Laura De La Torre practices at 3101 Beaumont Centre Cir Ste 100, Lexington, KY 40513. The listed phone number is (859) 323-5544.

What is Laura De La Torre's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Laura De La Torre enrolled in Medicare?

Yes. Laura De La Torre 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 De La Torre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura De La Torre reassigns Medicare benefits to 4 organizations: University Of Kentucky (Lexington, KY), New Vista Of The Bluegrass Inc (Lexington, KY), Shc Medical Partners Of Kentucky, LLC (Louisville, KY) and Riverside Psychiatric Medical Group (Riverside, CA). 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 De La Torre's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura De La Torre accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Laura De La Torre 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.

When was this NPI record last updated?

The NPPES record for Laura De La Torre was last updated on February 2, 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.