Individual provider Active NPI

Lauren Rae Earley, PA-C

  • Medical Physician Assistant
  • Junction City, OR
National Provider Identifier
1124460217
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA185443 Issued in OR
Practice address
355 W 3Rd Ave
Junction City, OR 97448-1313
Phone
(541) 998-6750
Fax
(541) 998-8270
NPI assigned
Jul 18, 2013
Last updated
Apr 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 016734 NY
Medical Physician Assistant 363AM0700X PA185443 OR Primary

Addresses

Primary practice location

355 W 3Rd Ave
Junction City, OR 97448-1313

Mailing address

355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750

Other names 1

  • Lauren Rae Bell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20180502001373 OR Practitioner - Physician Assistant 9234370370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icco LLCGroup PAC ID 1355406729, 133 clinicians

Practice addresses (Care Compare)

355 W 3Rd Ave
Junction City, OR 97448-1313
Phone (541) 998-6750

598 E 13TH Ave
Eugene, OR 97401-4783
Phone (541) 636-3473

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
016734NYMDMedical Physician Assistant
PA185443ORMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Icco, LLC CurrentSince Apr 1, 2018 Accepting new patients
Icco LLC CurrentSince Apr 1, 2018 Accepting new patients
Zia Sheikh MD Professional Corporation Past Accepting new patients
Salamance Family Health Center Past Accepting new patients
Icco, LLC Past Accepting new patients

Locations

1445 Gateway Blvd
Cottage Grove, OR 97424
Phone (541) 767-3023

186 W Ellendale Ave
Dallas, OR 97338
Phone (971) 900-4984

1292 High St
Eugene, OR 97401
Phone (541) 636-3473

598 E 13th Ave
Eugene, OR 97401
Phone (541) 636-3473

355 W 3rd Ave
Junction City, OR 97448
Phone (541) 998-2468

3400 Cooperative Way
Lebanon, OR 97355
Phone (541) 333-6605

87983 Territorial Rd
Veneta, OR 97487
Phone (541) 935-2200

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1124460217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 W 3RD AVE",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481313",
            "telephone_number": "541-998-6750",
            "fax_number": "541-998-8270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W 3RD AVE",
            "city": "JUNCTION CITY",
            "state": "OR",
            "postal_code": "974481313",
            "telephone_number": "541-998-6750",
            "fax_number": "541-998-8270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLEY",
        "first_name": "LAUREN",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "016734",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA185443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BELL",
            "middle_name": "RAE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Junction City, OR

Sources for this page

Verify at the official NPI Registry.