Individual provider Active NPI

Lauren Skurka, PA-C

  • Surgical Physician Assistant
  • Hobart, IN
National Provider Identifier
1134601206
Registry record updated Feb 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
Practice address
1400 S Lake Park Ave Ste 200
Hobart, IN 46342-6790
Phone
(219) 947-6122
NPI assigned
Sep 5, 2018
Last updated
Feb 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2020

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 NU
Surgical Physician Assistant 363AS0400X NU Primary

Addresses

Primary practice location

1400 S Lake Park Ave Ste 200
Hobart, IN 46342-6790

Mailing address

10064 Northcote CT
Saint John, IN 46373-9546
Phone (219) 242-0365

Other names 1

  • Lauren Marsee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20181214003021 IN Practitioner - Physician Assistant 0648515916 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermio Dermatology LLCGroup PAC ID 7315206687, 17 clinicians

Practice addresses (Care Compare)

519 N Halleck St
Demotte, IN 46310-9553
Phone (219) 228-4200

9200 Calumet Ave
Suite 203
Munster, IN 46321-2885
Phone (219) 228-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Network Inc Physician Assistant CurrentSince Nov 29, 2018 Accepting new patients
Dermio Surgery Center Past Accepting new patients

Locations

1400 S Lake Park Ave
Ste 200
Hobart, IN 46342
Phone (219) 947-5606

1500 S Lake Park Ave
Ste 200
Hobart, IN 46342
Phone (219) 947-6122

8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084

9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166

9200 Calumet Ave
Ste 203
Munster, IN 46321
Phone (219) 228-4200

Interoperability endpoints

  • Direct secure messaging: lmarsee89179@ssdirect.comhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582243200000",
    "number": "1134601206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10064 NORTHCOTE CT",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463739546",
            "telephone_number": "219-242-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S LAKE PARK AVE STE 200",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426790",
            "telephone_number": "219-947-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKURKA",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-05",
        "last_updated": "2020-02-21",
        "certification_date": "2020-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MARSEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hobart, IN

Sources for this page

Verify at the official NPI Registry.