Active NPI
Lauren Rebecca Kegelmyer
- Urology Physician
- Youngstown, OH
National Provider Identifier
1184483307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- APRN.CNP.0034419
- Practice address
- 7430 Southern Blvd
Youngstown, OH 44512-5629 - Phone
- (330) 729-9214
- NPI assigned
- Mar 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | APRN.CNP.0034419 | OH | Primary |
Addresses
Primary practice location
7430 Southern Blvd
Youngstown, OH 44512-5629
Mailing address
903 Indianola Rd
Youngstown, OH 44512-1708
Phone (330) 314-3444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240613002592 | OH | Practitioner - Nurse Practitioner | 6002359429 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Neo Urology Associates Inc
Practice addresses (Care Compare)
7430 Southern Blvd
Boardman, OH 44512-5629
Phone (330) 729-9214
Hospital & facility affiliations
- MH St Elizabeth Youngstown Hospital
- HMHP St Elizabeth Boardman Health Center
- Surgical Hospital at Southwoods
- MH St Joseph Warren Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neo Urology Associates Inc | Single Specialty | Current | Accepting new patients |
| Dermatology Associates of Youngstown Inc | Single Specialty | Past | Accepting new patients |
Locations
7430 Southern Blvd
Youngstown, OH 44512
Phone (330) 729-9214
Organizations & group practices 2
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.
-
- Dermatology Physician
- Youngstown, OH
- NPI 1033205216
Single Specialty
Hospital & facility affiliations 6
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": "1710720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710720000000",
"number": "1184483307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 INDIANOLA RD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445121708",
"telephone_number": "330-314-3444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7430 SOUTHERN BLVD",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445125629",
"telephone_number": "330-729-9214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEGELMYER",
"first_name": "LAUREN",
"middle_name": "REBECCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-18",
"last_updated": "2024-03-18",
"certification_date": "2024-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "OH",
"license": "APRN.CNP.0034419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.