Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura Busteed

Individual provider Family Nurse Practitioner · NPI 1134695000

Laura Busteed is a Nurse Practitioner in Beavercreek, Ohio. Qualified in 2018, 8 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
8
Licensed in
OH
In the registry since
2018
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Practice location Address checks out

3535 Pentagon Blvd Ste 320
Beavercreek, OH 45431-1705
Phone: (937) 490-2270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5981 Far Hills Ave, Dayton, OH 45429-2211 — (937) 428-6702

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 023908 (OH)

Record details

NPI number1134695000
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 18, 2018
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024
Mailing address3535 Pentagon Blvd, Ste 320, Beavercreek, OH 45431-1705

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Beavercreek