Provider Profile
Listed in the NPI registry as a nurse practitioner, Laura Spyche, NP practices in Cheektowaga, NY. According to Medicare claims data, Laura cared for 309 Medicare patients across 465 services. The services billed most often include dialysis services, 2-3 physician visits per month (20 years or older), residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes, and residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes.
Summarised automatically from public NPI registry and CMS Medicare data. Not written or reviewed by this provider. Claim this profile to replace it — free, and no identity document with a practice or institutional email.
License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
3469 HARLEM RD
Cheektowaga, NY 14225
465 services · 309 patients · 13 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Dialysis services, 2-3 physician visits per month (20 years or older) | Treatment | 90961 |
86 | More than most peers in Nurse Practitioner |
| Dialysis services, 1 physician visit per month (20 years or older) | Treatment | 90962 |
50 | More than most peers in Nurse Practitioner |
| Influenza vaccine, trivalent derived from cell cultures | Treatment | 90661 |
18 | As often as other peers in Nurse Practitioner |
| Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes | Office visit | 99350 |
83 | As often as other peers in Nurse Practitioner |
| Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | Office visit | 99349 |
51 | Less often than most peers in Nurse Practitioner |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | Office visit | 99490 |
39 | Less often than most peers in Nurse Practitioner |
| Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | Billing code | G0439 |
31 | As often as other peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
29 | Less often than most peers in Nurse Practitioner |
| Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and | Billing code | G0180 |
18 | Less often than most peers in Nurse Practitioner |
| Administration of influenza virus vaccine | Billing code | G0008 |
18 | As often as other peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Laura Spyche is a nurse practitioner in Cheektowaga, NY. That is the designation recorded for this NPI in the federal registry.
NPI registry
Laura Spyche is listed at 3469 Harlem Rd, Cheektowaga, NY 14225. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (716) 836-0016. Guide.md cannot book appointments or pass on messages — please call the office directly.
NPI registry
Laura Spyche's National Provider Identifier is 1760511034. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Laura Spyche attended Other, graduating in 1999. This comes from the CMS National Downloadable File.
CMS public data
Laura Spyche has 27 years experience. Calculated from a graduation year of 1999, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Laura Spyche provides treatments such as dialysis services, 2-3 physician visits per month and dialysis services, 1 physician visit per month, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Laura Spyche. If this is you, claiming it is free.
Guide.md
Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.