Individual provider Active NPI

Lauren Hennessey, PA-C

  • Medical Physician Assistant
  • Morgantown, WV
National Provider Identifier
1114499985
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA060143 Issued in PA
Practice address
390 Birch St
Morgantown, WV 26505-3203
Phone
(304) 598-4214
Fax
(304) 293-8724
NPI assigned
Dec 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X OA004620 PA
Medical Physician Assistant 363AM0700X MA060143 PA Primary

Addresses

Primary practice location

390 Birch St
Morgantown, WV 26505-3203

Mailing address

3600 Meyran Avenue
Pittsburgh, PA 15213
Phone (412) 864-1458

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lhennessey138043@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address lhennessey138043@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20211112000166 WV Practitioner - Physician Assistant 0244572287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Virginia University Medical CorporationGroup PAC ID 1052224565, 1,974 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Morgantown, WV 26506-1200
Phone (304) 598-4865

6 Canyon Rd
Suite 105
Morgantown, WV 26508-9232
Phone (304) 598-4433

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OA004620PAMDPhysician Assistant
MA060143PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fayette Physician Network Inc Physician Assistant CurrentSince Mar 12, 2019 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 1, 2021 Accepting new patients
West Virginia University Medical Corporation CurrentSince Oct 1, 2021 Accepting new patients
Fayette Physician Network Inc CurrentSince Mar 12, 2019 Accepting new patients

Locations

500 W Berkeley St
Uniontown, PA 15401
Phone (724) 430-5000

201 Mary Higginson Ln
Uniontown, PA 15401
Phone (724) 430-5940

1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500

390 Birch St
Morgantown, WV 26506
Phone (304) 285-7200

Interoperability endpoints

  • Direct secure messaging: lhennessey138043@direct.wvuhsdirect.com

Organizations & group practices 5

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": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1114499985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 MEYRAN AVENUE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213",
            "telephone_number": "412-864-1458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 BIRCH ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053203",
            "telephone_number": "304-598-4214",
            "fax_number": "304-293-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004620",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA060143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhennessey138043@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "390 Birch St",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265059042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lhennessey138043@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "390 Birch St",
            "city": "Morgantown",
            "state": "WV",
            "country_code": "US",
            "postal_code": "265053203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.