Individual provider Active NPI

Michele Renee Lausch, D.C.

  • Chiropractor
  • Ephrata, PA
National Provider Identifier
1073513339
Registry record updated Sep 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC005668L Issued in PA
Practice address
11 Long Ave
Ephrata, PA 17522-9795
Phone
(717) 733-6866
NPI assigned
Jul 28, 2005
Last updated
Sep 19, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC005668L PA Primary

Addresses

Primary practice location

11 Long Ave
Ephrata, PA 17522-9795

Mailing address

11 Long Ave
Ephrata, PA 17522-9795
Phone (717) 733-6866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050415000055 PA Practitioner - Chiropractic 5991742421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Pain Relief and Wellness, PCGroup PAC ID 9436044542, 2 clinicians

Practice addresses (Care Compare)

4 Muddy Creek Church Rd
Denver, PA 17517-9357
Phone (717) 733-6866

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Proactive Pain Relief & Wellness, PC Chiropractor CurrentSince Dec 29, 2008 Accepting new patients

Locations

11 Long Ave
Ephrata, PA 17522
Phone (717) 733-6866

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1073513339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 LONG AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229795",
            "telephone_number": "717-733-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 LONG AVE",
            "city": "EPHRATA",
            "state": "PA",
            "postal_code": "175229795",
            "telephone_number": "717-733-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUSCH",
        "first_name": "MICHELE",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC005668L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ephrata, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.