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MS. LAURA SUSANNAH TANNENBAUM NNP
NPI 1861790479
Nurse Practitioner - Neonatal in Arlington, MA

Active since March 05, 2011PECOS EnrolledAccepts Medicare Assignment
100 DOW AVE, ARLINGTON, MA 02476(781) 643-0804 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Laura Susannah Tannenbaum Nnp NPPES

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

MS. LAURA SUSANNAH TANNENBAUM NNP (NPI 1861790479) is an individual neonatal provider in Arlington, Massachusetts, licensed in Massachusetts (236051) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1861790479
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameMS. LAURA SUSANNAH TANNENBAUMCredential: NNP
Location Address100 DOW AVEArlington, MA 02476-7142
Mailing Address300 Longwood AveBoston, MA 02115-5724 · (617) 355-8076 · Fax (617) 730-0902
Phone(781) 643-0804
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 5, 2011
Last NPPES UpdateJuly 17, 2015
✔ NPI 1861790479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
License✔ Licensed in MA · 236051
100 DOW AVE, Arlington, MA 02476
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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 and accepts Medicare assignment

Ms. Laura Susannah Tannenbaum Nnp 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 ID1557651882
PECOS Enrollment IDI20251107004682
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 02476 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
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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 Tannenbaum's NPI number?

The NPI number for Laura Tannenbaum is 1861790479. It was assigned to this individual provider in the NPPES registry on March 5, 2011.

Where is Laura Tannenbaum located?

Laura Tannenbaum practices at 100 Dow Ave, Arlington, MA 02476. The listed phone number is (781) 643-0804.

What is Laura Tannenbaum's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Is Laura Tannenbaum enrolled in Medicare?

Yes. Laura Tannenbaum 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.

When was this NPI record last updated?

The NPPES record for Laura Tannenbaum was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.