Individual provider Active NPI

Lauren Harr, PA-C

  • Physician Assistant
  • Fort Worth, TX
National Provider Identifier
1013393669
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09898 Issued in TX
Practice address
1622 8TH Ave Ste 100
Fort Worth, TX 76104
Phone
(817) 927-2332
Fax
(817) 927-0361
NPI assigned
Aug 6, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09898 TX Primary

Addresses

Primary practice location

1622 8TH Ave Ste 100
Fort Worth, TX 76104

Mailing address

706 W Center St
Duncanville, TX 75116-4568
Phone (972) 780-0707

Other practice location 1

912 Foster Ln Ste 200
Weatherford, TX 76086-8715
Phone (817) 489-6789

Other names 1

  • Lauren Wessa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160713002191 TX Practitioner - Physician Assistant 9335431212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology PAGroup PAC ID 3971827791, 106 clinicians

Practice addresses (Care Compare)

12469 Timberland Blvd
Suite 501
Fort Worth, TX 76244-5216
Phone (817) 431-6555

1622 8TH Ave
Suite 100
Fort Worth, TX 76104-4155
Phone (817) 927-2332

7106 New Sanger Rd
Waco, TX 76712-3928
Phone (254) 537-1265

912 Foster LN
Suite 200
Weatherford, TX 76086-8715
Phone (817) 927-2332

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
76.91
Promoting interoperability
91
Improvement activities
40
Cost
77.16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA09898TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
R Todd Plott MD PA CurrentSince Oct 30, 2011 Accepting new patients
Dermatology Institute Past Accepting new patients

Locations

12469 Timberland Blvd
Ste 501
Fort Worth, TX 76244
Phone (817) 431-6555

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/OUq4sfoCPKtQL-ACHoGyRXMXcfN_WjFC/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1013393669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 W CENTER ST",
            "city": "DUNCANVILLE",
            "state": "TX",
            "postal_code": "751164568",
            "telephone_number": "972-780-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 8TH AVE STE 100",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "76104",
            "telephone_number": "817-927-2332",
            "fax_number": "817-927-0361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "912 Foster Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Weatherford",
            "state": "TX",
            "postal_code": "760868715",
            "country_code": "US",
            "telephone_number": "817-489-6789",
            "fax_number": "817-599-5477",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARR",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-06",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WESSA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.