Individual provider Active NPI

Lauren Michelle Edgar, APRN-BC

  • Family Nurse Practitioner
  • Marietta, OH
National Provider Identifier
1114551454
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105690 Issued in WV
Practice address
400 Matthew St
Marietta, OH 45750-1644
Phone
(740) 373-4111
Fax
(740) 373-4860
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 105690 WV Primary

Addresses

Primary practice location

400 Matthew St
Marietta, OH 45750-1644

Mailing address

1013 Garfield Ave
Parkersburg, WV 26101-3290
Phone (304) 424-4574

Other practice location 1

807 Farson St Ste 202
Belpre, OH 45714-1069
Phone (740) 423-3222

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lauren.edgar@mmhs.medicity.net
Direct Messaging Address lauren.edgar@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20230215000634 OH Practitioner - Nurse Practitioner 1153750336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

400 Matthew St
Marietta, OH 45750-1644
Phone (740) 373-4111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Marietta Memorial Hospital CurrentSince Jan 27, 2023 Accepting new patients
Marietta Memorial Hospital CurrentSince Jan 27, 2023 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

807 Farson St
Ste 202
Belpre, OH 45714
Phone (740) 423-3222

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

400 Matthew St
Marietta, OH 45750
Phone (740) 373-4111

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

Organizations & group practices 3

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 4

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": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1114551454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013 GARFIELD AVE",
            "city": "PARKERSBURG",
            "state": "WV",
            "postal_code": "261013290",
            "telephone_number": "304-424-4574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MATTHEW ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457501644",
            "telephone_number": "740-373-4111",
            "fax_number": "740-373-4860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "807 Farson St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141069",
            "country_code": "US",
            "telephone_number": "740-423-3222",
            "fax_number": "740-401-0435",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGAR",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "105690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.edgar@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "400 Matthew St",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.edgar@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "807 Farson St Ste 202",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.