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Deactivated NPI 1891992996 Deactivated / Inactive NPI Female Practitioner

Laura Diane Petrash , PA-C

Physician Assistant • Edmond, OK

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Laura Petrash has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 02, 2007
NPI Deactivation Date March 04, 2022
Total Practice Duration ~15 Years of Practice (2007 – 2022)

Professional Overview & Biography Verified Profile Summary

Laura Petrash, PA-C was a registered Physician Assistant practicing in Edmond, OK. Throughout an active medical career spanning 15 years, Laura Petrash provided care at the practice location at 1616 S KELLY AVE until profile deactivation on 2022-03-04.

Historical Medicare Part B clinical services included established patient outpatient office visit, testing for presence of drug, read by direct observation, online digital evaluation and management service for an established patient for up to 7 days, total time. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

1616 S Kelly Ave

Edmond, OK 730133651

Telephone 4053300015
Fax 4053408804
Associated Practice Facility / Clinic
🏢 Hpi Physicians Llc Facility NPI 1205152600

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Edmond, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
78 Specialists

Practicing in Edmond, OK (1911 Statewide)

Telehealth Adoption Rate
16.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
40 38 $210.00 $102.71
99213 Established patient office or other outpatient visit, typically 15 minutes
37 37 $145.00 $73.78
80305 Testing for presence of drug, read by direct observation
19 19 $60.00 $11.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 13 $115.00 $42.96

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OK 1650

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.

Practice Associates & Co-Workers

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

8 Associated Practitioners
Madison Williams , PA

Physician Assistant

NPI 1336683515

Physician Assistant

Dr. Lance Smith , MD

Orthopaedic Surgery

NPI 1447485826

Doctor of Medicine (M.D.)

NPI 1477525848

Doctor of Medicine (M.D.)

Dr. Rupert Thomas , MD

Obstetrics & Gynecology

NPI 1578539029

Doctor of Medicine (M.D.)

Dr. Cassie Smith , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1578852703

Doctor of Medicine (M.D.)

Dr. Jenna Crowder , MD

Family Medicine - Sports Medicine

NPI 1740694611

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated March 04, 2022

Record deactivated on March 04, 2022

NPI Profile Active July 24, 2015

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2015

Registered at 1616 S KELLY AVE, EDMOND, OK 730133651 (Tel: 4053300015)

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Updated Business Mailing Address July 24, 2015

Registered at 14024 QUAIL POINTE DR, OKLAHOMA CITY, OK 731341006 (Tel: 4054198447)

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Provider Name / Credentials Updated July 24, 2015

Recorded as LAURA PETRASH, PA-C

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2015

Physician Assistant (License #1650 in OK)

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Initial NPI Registration & Enumeration July 02, 2007

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: 1891992996
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 02, 2007
Last Update: July 24, 2015
Deactivation Date: March 04, 2022

Mailing Address

14024 Quail Pointe Dr

Oklahoma City, OK 731341006

Phone: 4054198447

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.