Individual provider Active NPI

Lauren Marie Metterle, MD

  • Dermatology Physician
  • St Petersburg, FL
National Provider Identifier
1033572391
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME150048 Issued in FL
Practice address
601 7TH St S Ste 405
St Petersburg, FL 33701-4748
Phone
(727) 893-6750
Fax
(727) 893-6751
NPI assigned
Apr 3, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dermatology Physician 207NP0225X ME150048 FL
Dermatology Physician 207N00000X ME150048 FL Primary

Addresses

Primary practice location

601 7TH St S Ste 405
St Petersburg, FL 33701-4748

Mailing address

601 7TH St S Ste 405
St Petersburg, FL 33701-4748
Phone (727) 893-6750

Other practice location 1

718 Lakeview Rd Ste B
Clearwater, FL 33756-3460
Phone (727) 447-1229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OR, WA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220115000040 FL Practitioner - Dermatology 7517362833 Reassigns benefits to 2 organizations
I20250820003939 OR Practitioner - Dermatology 7517362833 Reassigns benefits to 1 organization
I20251015001807 WA Practitioner - Dermatology 7517362833 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clear Choice DermatologyGroup PAC ID 4789005034, 47 clinicians
Ohi West Medical Group LLCGroup PAC ID 2668882507, 200 clinicians
Nuplo Dermatology LLCGroup PAC ID 7416349824, 2 clinicians

Practice addresses (Care Compare)

123 C Ave
Lake Oswego, OR 97034-2353
Phone (541) 316-6575

1825 E 19TH St
The Dalles, OR 97058-3365

601 7TH St S
St Petersburg, FL 33701-4708
Phone (727) 893-6234

718 Lakeview Rd
Suite B
Clearwater, FL 33756-3460
Phone (727) 447-1229

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions741
Removal or shaving of skin growth28
Skin biopsy115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME150048FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clear Choice Dermatology Dermatology CurrentSince Aug 5, 2025 Accepting new patients
Nuplo Dermatology LLC Dermatology CurrentSince Jan 1, 2022 Accepting new patients
Dermatology Esthetica Past Accepting new patients

Locations

718 Lakeview Rd
Ste B
Clearwater, FL 33756
Phone (727) 447-1229

349 SE 7th Ave
Hillsboro, OR 97123
Phone (503) 648-0803

123 C Ave
Lake Oswego, OR 97034
Phone (702) 550-9784

966 12th St SE
Ste 130
Salem, OR 97302
Phone (503) 540-7477

1815 E 19th St
Ste B
The Dalles, OR 97058
Phone 5413166575184

1825 E 19th St
The Dalles, OR 97058
Phone (541) 506-6440

310 S Roosevelt St
Goldendale, WA 98620
Phone (509) 486-2151

317 Sanders Way
Goldendale, WA 98620
Phone (509) 773-4017

9951 Mickelberry Rd NW
Ste 201
Silverdale, WA 98383
Phone (360) 692-1814

Networks

  • devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
  • WA PPO C-SNP

Interoperability endpoints

  • Direct secure messaging: lmetterle@lumaderm.emadirect.md

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1459641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1033572391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014748",
            "telephone_number": "727-893-6750",
            "fax_number": "727-893-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 7TH ST S STE 405",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014748",
            "telephone_number": "727-893-6750",
            "fax_number": "727-893-6751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Lakeview Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563460",
            "country_code": "US",
            "telephone_number": "727-447-1229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METTERLE",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-03",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "FL",
            "license": "ME150048",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME150048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.