LAURA LYNNE DERUITER, RN,IBCLC — NPI 1750525424 (Licensed & Credentialed Registered Nurse, Lactation Consultant in HART, MI)

CMS-1500 Box 24J / 33a • NPI

1750525424

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WL0100X

Licensed & Credentialed Registered Nurse, Lactation Consultant

Box 32 Service Location & ZIP+4

1809 N YOUNG RD, HART, MI, 49420-8843

✓ 9-Digit EDI 837 ZIP+4 (49420-8843)

Practice Phone & Referral Fax

(231) 873-3259

Fax: (231) 873-8320

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1750525424 (LAURA LYNNE DERUITER, RN,IBCLC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1750525424` (NPI-1 Individual Practitioner)
Provider / Legal Name	LAURA LYNNE DERUITER, RN,IBCLC
Plain-English Specialty	Licensed & Credentialed Registered Nurse, Lactation Consultant NUCC Code: `163WL0100X` (Registered Nurse, Lactation Consultant)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1809 N YOUNG RD, HART, MI, 49420-8843
Practice Telephone / Fax	Tel: (231) 873-3259 \| Fax: (231) 873-8320
Administrative Mailing Address	1809 N YOUNG RD, HART, MI, 49420-8843
Enumeration & Last Sync	Enumerated: 2009-04-27 \| CMS Record Updated: 2009-04-27

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1809 N YOUNG RD, HART, MI, 49420-8843

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Plain-English Taxonomy & CMS Crosswalk (163WL0100X)

What Does Taxonomy Code 163WL0100X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WL0100X translates to:
"Licensed & Credentialed Registered Nurse, Lactation Consultant"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, Lactation Consultant for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (LAURA LYNNE DERUITER, RN,IBCLC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WL0100X` — Registered Nurse, Lactation Consultant Plain English: Licensed & Credentialed Registered Nurse, Lactation Consultant	State: MI \| License: `4704125868` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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LAURA LYNNE DERUITER, RN,IBCLC (NPI #1750525424)