Individual provider Active NPI

Lauren Marie Jazwick, DO

  • Otolaryngology Physician
  • Columbus, NE
National Provider Identifier
1124548631
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2594 Issued in NE
Practice address
4508 38TH St Ste 152
Columbus, NE 68601-1668
Phone
(402) 562-4720
NPI assigned
Jun 26, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2594 NE Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4508 38TH St Ste 152
Columbus, NE 68601-1668

Mailing address

4508 38TH St Ste 152
Columbus, NE 68601-1668
Phone (402) 562-4720

Other names 1

  • Lauren Marie Klute Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823001061 NE Practitioner - Otolaryngology 2860766326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Community Hospital IncGroup PAC ID 7517954944, 86 clinicians

Practice addresses (Care Compare)

4508 38TH St
Suite 152
Columbus, NE 68601-1668
Phone (402) 563-4500

Hospital & facility affiliations

  • Columbus Community Hospital, Inc Hospital, Columbus, NE, CCN 280111
  • Boone County Health Center Hospital, Albion, NE, CCN 281334

Merit-based Incentive Payment System (MIPS)

Final score
65.67 of 100Reported as group
Quality
95
Promoting interoperability
0
Improvement activities
40
Cost
73.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
8017NEMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Community Hospital Inc CurrentSince Aug 1, 2022 Accepting new patients
Columbus Community Hospital Inc Current Accepting new patients
Columbus Community Hospital Inc Otolaryngology CurrentSince Aug 1, 2022 Accepting new patients
Columbus General Surgery PC Past Accepting new patients

Locations

723 W Fairview St
Albion, NE 68620
Phone (402) 385-3149

4508 38th St
Ste 152
Columbus, NE 68601
Phone (402) 395-2191

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.105015

Organizations & group practices 4

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 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": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1124548631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4508 38TH ST STE 152",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-562-4720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4508 38TH ST STE 152",
            "city": "COLUMBUS",
            "state": "NE",
            "postal_code": "686011668",
            "telephone_number": "402-562-4720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAZWICK",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NE",
            "license": "2594",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "KLUTE",
            "middle_name": "MARIE",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbus, NE

Sources for this page

Verify at the official NPI Registry.