Lauren Ellis
Individual provider Active NPI Adult Health Nurse Practitioner · Lima, PA
NPI 1043661325 · NPPES record last updated Jun 28, 2016
Key facts
- NPI
- 1043661325
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- SP016231 (PA)
- Practice address
- 340 N Middletown Rd
Lima, PA 19037 - Phone
- (610) 891-5840
- NPI assigned
- Jun 28, 2016
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.87 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 66.24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160818000043 | PA | Practitioner - Nurse Practitioner | 1052606852 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP016231 | PA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Gerontology Associates LLP | Current |
Accepting new patients |
Locations
340 N Middletown Rd
Media, PA 19063
Phone (610) 565-7810
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP016231 | PA | Yes |
Addresses
Primary practice location
340 N Middletown Rd
Lima, PA 19037
Mailing address
1098 W Baltimore Pike
Media, PA 19063-5139
Other providers in Lima, PA
- Dominique Butz
- Albert Chu
- County of Delaware
- Grane Supply, Inc.
- Lima Gerontology Associates LLP
- Mirmont Treatment Center
- Megan Leigh Myerson
All providers in Lima, PA · Adult Health Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.