Individual provider Active NPI

Lauryn Renee Caulley

  • Physician Assistant
  • Arden Hills, MN
National Provider Identifier
1144076183
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15494 Issued in MN
Practice address
2 Pine Tree Dr
Arden Hills, MN 55112-3754
Phone
(651) 635-8000
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 15494 MN Primary

Addresses

Primary practice location

2 Pine Tree Dr
Arden Hills, MN 55112-3754

Mailing address

3324 Yates Ave N
Crystal, MN 55422-2617
Phone (763) 370-2612

Other practice location 1

303 Catlin St Ste 100
Buffalo, MN 55313-1947
Phone (763) 684-6160

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20251015003340 MN Practitioner - Physician Assistant 4688161318 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, 3,844 clinicians
Specialists in General Surgery, LTDGroup PAC ID 2466416128, 17 clinicians

Practice addresses (Care Compare)

303 Catlin St
Suite 100
Buffalo, MN 55313-1947
Phone (763) 684-6160

9825 Hospital Dr
Maple Grove, MN 55369-4769
Phone (763) 780-6699

Hospital & facility affiliations

  • Maple Grove Hospital Hospital, Maple Grove, MN, CCN 240214
  • North Memorial Health Hospital Hospital, Robbinsdale, MN, CCN 240001

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15494MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allina Health System CurrentSince Dec 1, 2025 Accepting new patients
Specialists in General Surgery, LTD CurrentSince Oct 6, 2025 Accepting new patients
Allina Health System CurrentSince Dec 1, 2025 Accepting new patients

Locations

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

303 Catlin St
Ste 100
Buffalo, MN 55313
Phone (763) 684-6160

9825 Hospital Dr
Ste 105
Maple Grove, MN 55369
Phone (763) 383-7818

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

3300 Oakdale Ave N
Robbinsdale, MN 55422
Phone (763) 520-5048

5354 Edgewood Dr
Saint Paul, MN 55112

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 5

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": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1144076183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3324 YATES AVE N",
            "city": "CRYSTAL",
            "state": "MN",
            "postal_code": "554222617",
            "telephone_number": "763-370-2612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 PINE TREE DR",
            "city": "ARDEN HILLS",
            "state": "MN",
            "postal_code": "551123754",
            "telephone_number": "651-635-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "303 Catlin St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "MN",
            "postal_code": "553131947",
            "country_code": "US",
            "telephone_number": "763-684-6160",
            "fax_number": "612-262-8766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAULLEY",
        "first_name": "LAURYN",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "15494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arden Hills, MN

Sources for this page

Verify at the official NPI Registry.