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Active NPI 1861153736 Individual Practitioner Female Practitioner

Laura A Datema , CNP

Nurse Practitioner • Grand Rapids, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Laura Datema, CNP is a certified Nurse Practitioner practicing in Grand Rapids, MI. With approximately 7 years of clinical experience since completing medical education in 2019, Laura Datema delivers high-quality medical care to the local community at 25 MICHIGAN ST NE STE 4200.

Laura Datema is affiliated with Spectrum Health Primary Care Partners and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Michigan St Ne Ste 4200

Grand Rapids, MI 495032559

Telephone 6162679150
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Grand Rapids, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -3.6 yrs vs City Avg
City Avg: 10.6 Yrs
State Avg: 10.8 Yrs
Regional Practice Density
278 Specialists

Practicing in Grand Rapids, MI (3626 Statewide)

Telehealth Adoption Rate
18.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
60.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Datema (7 Years) 7 Yrs
Grand Rapids Specialty Average (10.6 Years) 10.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
17 15 $295.00 $117.44

Medical Specialties & State Licenses

CMS Verified: 2024-04-29
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MI 4704286319

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Spectrum Health Primary Care Partners

4444 Kalamazoo Ave Se, Kentwood, MI 495084600

Phone: 6163915600

Spectrum Health Primary Care Partners

100 Michigan Ave Ne, Grand Rapids, MI 495032560

Spectrum Health Primary Care Partners

100 Michigan St Ne Rm, Grand Rapids, MI 495032560

Phone: 6162670115

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Stephanie-Grace Raymundo , MD

Pediatrics - Pediatric Cardiology

NPI 1003294455

Doctor of Medicine (M.D.)

Khira Benson , CNP

Nurse Practitioner - Acute Care

NPI 1003425380

Certified Nurse Practitioner

Dr. Linda Pauliks , MD

Pediatrics - Pediatric Cardiology

NPI 1013903947

Doctor of Medicine (M.D.)

NPI 1033787387

Doctor of Medicine (M.D.)

Dr. Jean Ballweg , MD

Pediatrics - Pediatric Cardiology

NPI 1043236730

Doctor of Medicine (M.D.)

Dr. Christopher Ratnasamy , MD

Internal Medicine - Interventional Cardiology

NPI 1043411721

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated April 29, 2024

Recorded as LAURA DATEMA, CNP

📍
Updated Practice Location March 21, 2022

Registered at 25 MICHIGAN ST NE STE 4200, GRAND RAPIDS, MI 495032559 (Tel: 6162679150)

👤
Provider Name / Credentials Updated March 21, 2022

Recorded as LAURA ODDO, NP

NPI Profile Active January 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 04, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

📍
Updated Business Mailing Address January 04, 2022

Registered at 100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 495032560 (Tel: 6164866790)

👤
Provider Name / Credentials Updated January 04, 2022

Recorded as LAURA ODDO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2022

Nurse Practitioner (License #4704286319 in MI)

🟢
Initial NPI Registration & Enumeration January 04, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861153736
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 04, 2022
Last Update: April 29, 2024
Sole Proprietor: No

Mailing Address

100 Michigan St Ne # Mc845

Grand Rapids, MI 495032560

Phone: 6164866790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.