Lauren McKenzie Ax, MSPAS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA060393 Issued in PA

Practice address

4425 E Agave Rd Ste 148
Phoenix, AZ 85044-0623

Phone

(480) 704-7546

Fax

(480) 704-7549

NPI assigned

Nov 25, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Applegate Former name

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Saguaro Dermatology Associates LLCGroup PAC ID 3577892561, 13 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

93.76 of 100Reported as group

Quality

100

Improvement activities

40

Cost

79.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.ax@785195009703940.direct.elationemr.com

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.

• Saguaro Dermatology Associates LLC

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1114485646
  Medicare reassignment Care Compare group
• Saguaro Dermatology Associates LLC

  dba papillon dermatology p.c.

  • Specialist
  • Mesa, AZ
  • NPI 1588797179
  NPD
• The Center for Advanced Dermatology, P.C.

  • Dermatology Physician
  • Phoenix, AZ
  • NPI 1750470175
  NPD (past)

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

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1033688726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850821025",
            "telephone_number": "480-681-3300",
            "fax_number": "480-681-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4425 E AGAVE RD STE 148",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850440623",
            "telephone_number": "480-704-7546",
            "fax_number": "480-704-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AX",
        "first_name": "LAUREN",
        "middle_name": "MCKENZIE",
        "name_prefix": "Mrs.",
        "credential": "MSPAS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA060393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "APPLEGATE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Enkidia Awo
• Issam Mazen Awwad, MD
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• Axis Endocrinology PLLC
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• Physician Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.