Individual provider Active NPI

Lauren Samuelson

  • Physician Assistant
  • Grand Junction, CO
National Provider Identifier
1194563999
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
743 Horizon CT Ste 100
Grand Junction, CO 81506-8715
Phone
(970) 241-7600
NPI assigned
Jul 16, 2024
Last updated
May 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 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 NU Primary

Addresses

Primary practice location

743 Horizon CT Ste 100
Grand Junction, CO 81506-8715

Mailing address

743 Horizon CT Ste 100
Grand Junction, CO 81506-8715
Phone (970) 241-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20250304001207 CO Practitioner - Physician Assistant 9032630397 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Metro Urgent Care LLCGroup PAC ID 4082058920, 5 clinicians
Community Medical Group LLCGroup PAC ID 1052612785, 109 clinicians

Practice addresses (Care Compare)

3471 N Salida St
Unit 40
Aurora, CO 80011-5020
Phone (303) 562-1797

607 28
Grand Junction, CO 81506-6018
Phone (970) 243-3300

743 Horizon CT
Suite 100
Grand JCT, CO 81506-8715
Phone (970) 241-7600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Community Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients
Western Medical Associates, P.C. Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group, LLC Past Accepting new patients
Community Medical Group Past Accepting new patients

Locations

101 Jurassic Ave
Unit B
Fruita, CO 81521
Phone (970) 858-6677

2478 Patterson Rd
Ste 27
Grand Junction, CO 81505
Phone (970) 644-4300

743 Horizon Ct
Ste 100
Grand Junction, CO 81506
Phone (970) 241-7600

731 Iowa Ave
Ste A
Palisade, CO 81526
Phone (970) 644-4050

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/849/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1194563999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068715",
            "telephone_number": "970-241-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 HORIZON CT STE 100",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815068715",
            "telephone_number": "970-241-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Junction, CO

Sources for this page

Verify at the official NPI Registry.