Individual provider Active NPI

Lauren Diskin, PA

  • Physician Assistant
  • Overland Park, KS
National Provider Identifier
1124788815
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-03081 Issued in KS
Practice address
6240 W 135TH St Ste 150
Overland Park, KS 66223-4857
Phone
(913) 632-9500
Fax
(913) 632-9529
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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 4707 OK
Physician Assistant 363A00000X 15-03081 KS Primary

Addresses

Primary practice location

6240 W 135TH St Ste 150
Overland Park, KS 66223-4857

Mailing address

6240 W 135TH St Ste 150
Overland Park, KS 66223-4857
Phone (913) 632-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK, KS3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220228000936 TX Practitioner - Physician Assistant 2365836889 Reassigns benefits to 1 organization
I20220426002180 OK Practitioner - Physician Assistant 2365836889 Reassigns benefits to 1 organization
I20251107004520 KS Practitioner - Physician Assistant 2365836889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

9301 W 74TH St
100 Ahmg Hematology Oncology at Shawnee
Merriam, KS 66204-2217
Phone (913) 632-9100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as group
Quality
83.76
Promoting interoperability
100
Improvement activities
40
Cost
56.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-03081KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics CurrentSince Jan 31, 2022 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Jan 19, 2022 Accepting new patients
Shawnee Mission Medical Center Inc CurrentSince Sep 8, 2025 Accepting new patients

Locations

6240 W 135th St
Ste 150
Overland Park, KS 66223
Phone (913) 632-3500

9301 W 74th St
Ste 100
Shawnee Mission, KS 66204
Phone (913) 632-9100

1313 E 20th St
Okmulgee, OK 74447
Phone (918) 591-5700

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

Dept 1038
Tulsa, OK 74182

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Dept 1467
Tulsa, OK 74182

Interoperability endpoints

  • Direct secure messaging: ldiskin5472237@adventhealth.direct-ci.com

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 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": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1124788815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234857",
            "telephone_number": "913-632-9500",
            "fax_number": "913-632-9529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6240 W 135TH ST STE 150",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662234857",
            "telephone_number": "913-632-9500",
            "fax_number": "913-632-9529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISKIN",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "4707",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-03081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.