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LAURA A. STANTON M.D.
NPI 1851596712
Psychiatry & Neurology - Psychiatry in Providence, RI

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
164 SUMMIT AVE, FAIN BLDG., 2B, PROVIDENCE, RI 02906(401) 793-4300(401) 793-4312 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Laura A. Stanton M.d. NPPES

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

LAURA A. STANTON M.D. (NPI 1851596712) is an individual psychiatry provider in Providence, Rhode Island, licensed in Rhode Island (MD13345) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1851596712
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameLAURA A. STANTONCredential: M.D.
Location Address164 SUMMIT AVE, FAIN BLDG., 2BProvidence, RI 02906-2853
Mailing Address164 Summit Ave, Fain Bldg., 2bProvidence, RI 02906-2853 · (401) 793-4300 · Fax (401) 793-4312
Phone(401) 793-4300
Fax(401) 793-4312
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 19, 2007
Last NPPES UpdateMarch 7, 2013
✔ NPI 1851596712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in RI · MD13345
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Geriatric PsychiatryTaxonomy 2084P0805X · License MD13345 (RI)
164 SUMMIT AVE, Providence, RI 02906
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Other Identifiers 3

MedicaidLS86242RI
OtherMD13345RI · Professional License
Medicare OSCAR/certification002782801RI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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 A. Stanton M.d. 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 ID1456508936
PECOS Enrollment IDI20120906000443
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

3

Medicare enrollment records show Laura Stanton reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Miriam Hospital
1.0 mi
General Acute Care Hospital
146 W RIVER ST STE 11A
Providence, RI 02904
  • Reassigned Medicare billing, Rhode Island enrollment
  • 30 clinicians in this Medicare group
NPI 1225073638 (401) 793-8770
Lifespan Physician Group, Inc.
2.8 mi
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group
NPI 1548506793 (401) 444-7442
Rhode Island Hospital
2.8 mi
Hematology & Oncology
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 182 clinicians in this Medicare group
NPI 1396849782 (401) 444-5291

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 4

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.
168 services67 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
126 services64 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
46 services46 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
44 services40 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02906 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
$177.03 typical visit price
range $58.57 – $177.03
Typical copayment $44.25 (range $14.64 – $44.25)
Most-billed visit code 99205
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
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.

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.

MRS. HALINA KUC-MAZGAJ
Nurse Practitioner (Family)
164 SUMMIT AVE, THE MIRIAM HOSPITAL
PROVIDENCE, RI 02906
Providence County (401) 793-3902
KARL HERMAN M.D.
Internal Medicine
164 SUMMIT AVE, FAIN BLDG.
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MUHAMMAD BAIG M.D.
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE, FAIN BLDG
PROVIDENCE, RI 02906
Providence County (401) 793-4489
MS. LEANNE LAPARLE LICSW
Social Worker (Clinical)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-2069
THOMAS FAIRWEATHER CRAIN MD
Internal Medicine (Cardiovascular Disease)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4630
JAMES ATKINSON MD
Internal Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500
DR. ORIANE DIANA LONGERSTAEY MD
Emergency Medicine
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (704) 355-3181
JEFFREY M BUROCK MD
Psychiatry & Neurology (Psychiatry)
164 SUMMIT AVE
PROVIDENCE, RI 02906
Providence County (401) 793-4500

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 Stanton's NPI number?

The NPI number for Laura Stanton is 1851596712. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Laura Stanton located?

Laura Stanton practices at 164 Summit Ave Fain Bldg., 2B, Providence, RI 02906. The listed phone number is (401) 793-4300.

What is Laura Stanton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Laura Stanton enrolled in Medicare?

Yes. Laura Stanton 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 Stanton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Stanton reassigns Medicare benefits to 3 organizations: The Miriam Hospital (Providence, RI), Lifespan Physician Group, Inc. (Providence, RI) and Rhode Island Hospital (Providence, RI). 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 Stanton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Laura Stanton accept?

Health plans from Harvard Pilgrim Health Care list Laura Stanton 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 Stanton affiliated with any hospitals?

According to CMS data, Laura Stanton is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Laura Stanton was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.