Lauren Agner, NP

Individual provider Active NPI Nurse Practitioner · Clemmons, NC

NPI 1194313627 · NPPES record last updated Jun 10, 2021

Key facts

NPI
1194313627
Entity type
Individual (NPI type 1)
Primary specialty
Nurse Practitioner 363L00000X
License
5013916 (NC)
Practice address
6371 Jessie LN
Clemmons, NC 27012-9887
Phone
(336) 740-9060
Fax
(336) 740-9659
NPI assigned
Jan 10, 2021
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
NH-CL Clinics LLC (82 clinicians)

Practice addresses (Care Compare)

6371 Jessie LN
Clemmons, NC 27012-9887
Phone (336) 740-9060

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210302002219 NC Practitioner - Nurse Practitioner 1254747058 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
NH-CL Clinics, LLC Current
since Feb 22, 2021
Accepting new patients
Neurosurgical Associates of the Past
since Nov 1, 2004
Accepting new patients

Locations

6371 Jessie Ln
Clemmons, NC 27012
Phone (336) 740-9060

18 Oak Branch Dr
Ste C
Greensboro, NC 27407
Phone (336) 579-2312

9930 Kincey Ave
Ste 130
Huntersville, NC 28078
Phone (980) 556-7140

500 Pineview Dr
Ste 205
Kernersville, NC 27284
Phone (336) 310-6115

6329 Unity St
Ste A
Thomasville, NC 27360
Phone (336) 474-0278

2810 Maplewood Ave
Winston Salem, NC 27103
Phone (336) 768-1811

730 Highland Oaks Dr
Winston Salem, NC 27103
Phone (336) 646-7323

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 5013916 NC Yes

Addresses

Primary practice location

6371 Jessie LN
Clemmons, NC 27012-9887

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address lagner868811@direct.novanthealth.org

Other providers in Clemmons, NC

All providers in Clemmons, NC · Nurse Practitioner in North Carolina

Sources for this page

Verify at the official NPI Registry.