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

Mrs. Jacqueline Laraway, ACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1093749343

Mrs. Jacqueline Laraway, ACNP-BC is a Nurse Practitioner in Marion, Virginia. Qualified in 1996, 30 years ago. Practices with Southeastern Intensivist Services PC, a 237-clinician group and accepts Medicare assignment. Licensed in Alabama, Tennessee and Virginia.

Years since qualifying
30
Licensed in
AL, TN, VA
In the registry since
2006
Specialties on file
3

Practice location Address checks out

245 Medical Park Dr First Fl
Marion, VA 24354-1100
Phone: (276) 378-1341
Fax: (276) 378-1205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024167734 (VA)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 13443 (TN)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 3-002978 (AL)

Record details

NPI number1093749343
Entity typeIndividual (Type 1)
GenderFemale
Credentials ACNP-BC
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJune 28, 2026
Certification dateJune 28, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southeastern Intensivist Services Pc — 237 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients28
Services billed 28 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Southeastern Intensivist Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 237 clinicians in the practice; 12 are shown here.