Individual provider Active NPI

Lauren Sheffield Barnes, CRNP

  • Nurse Practitioner
  • Port Jefferson Station, NY
National Provider Identifier
1184965402
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
F308902 Issued in NY
Practice address
1500 Route 112 Ste 101
Port Jefferson Station, NY 11776-8054
Phone
(631) 751-3000
Fax
(631) 509-6559
NPI assigned
Mar 12, 2013
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X F308902 NY Primary

Addresses

Primary practice location

1500 Route 112 Ste 101
Port Jefferson Station, NY 11776-8054

Mailing address

8030 Mossy Oak Drive
Montgomery, AL 36117
Phone (334) 462-2282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20130425000127 AL Practitioner - Nurse Practitioner 0042456717 Reassigns benefits to 2 organizations
I20181108001800 NY Practitioner - Nurse Practitioner 0042456717 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

107 N 24TH St
Opelika, AL 36801-6253
Phone (855) 830-8346

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F308902NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Vein Restoration Al LLC CurrentSince Feb 17, 2025 Accepting new patients
North Shore Hematology Oncology Associates PC CurrentSince Sep 22, 2018 Accepting new patients
Center for Vein Restoration Al LLC CurrentSince Feb 17, 2025 Accepting new patients
Internal Medicine Associates of Montgomery PC Current Accepting new patients

Locations

3280 Ross Clark Cir
Dothan, AL 36303
Phone (334) 678-9494

6940 Winton Blount Blvd
Montgomery, AL 36117
Phone (334) 277-1234

107 24th St
Opelika, AL 36801
Phone (334) 826-5577

7474 Greenway Center Dr
Ste 1000
Greenbelt, MD 20770
Phone (240) 965-3271

1500 Route 112
Bldg 4
Port Jefferson Station, NY 11776
Phone (631) 574-8354

1500 Route 112
Ste 101
Port Jefferson Station, NY 11776

48 Route 25A
Smithtown, NY 11787
Phone (631) 862-3540

Interoperability endpoints

  • Direct secure messaging: lauren.barnes@direct.baptistfirst.org
  • Direct secure messaging: lauren.barnescrnp.p3@direct.cvr.nextgenshare.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, 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": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1184965402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 MOSSY OAK DRIVE",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "36117",
            "telephone_number": "334-462-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ROUTE 112 STE 101",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117768054",
            "telephone_number": "631-751-3000",
            "fax_number": "631-509-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAUREN",
        "middle_name": "SHEFFIELD",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "F308902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

Verify at the official NPI Registry.