Individual provider Active NPI

Lauren Mahoney

  • Physician Assistant
  • Owensboro, KY
National Provider Identifier
1205286556
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA2154 Issued in KY
Practice address
1301 Pleasant Valley Rd
Suite 500B
Owensboro, KY 42303-9774
Phone
(270) 417-7940
Fax
(270) 417-7949
NPI assigned
Jun 17, 2016
Last updated
Feb 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 99076677A IN
Physician Assistant 363A00000X TC520 KY
Physician Assistant 363A00000X PA2154 KY Primary

Addresses

Primary practice location

1301 Pleasant Valley Rd
Suite 500B
Owensboro, KY 42303-9774

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

Other identifiers 1

IdentifierTypeStateIssuer
7100417770MedicaidKY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lmahoney64931@direct.owensborohealth.org
Direct Messaging Address lmahoney64931@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 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
I20161017002875 KY Practitioner - Physician Assistant 3274821699 Reassigns benefits to 1 organization
I20161228002386 IN Practitioner - Physician Assistant 3274821699 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Indiana University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owensboro Health, IncGroup PAC ID 0547154650, shared by 9 NPIs, 179 clinicians
Owensboro Health Medical Group IncGroup PAC ID 0648255034, shared by 5 NPIs, 455 clinicians

Practice addresses (Care Compare)

1006 Ford Ave
Owensboro, KY 42301-4677
Phone (270) 688-4845

1200 Barret Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

1201 Pleasant Valley Rd
Owensboro, KY 42303-9811

1301 Pleasant Valley Rd
Owensboro, KY 42303-9774

2211 Mayfair Dr
Owensboro, KY 42301-4569

27 US Hwy 66 E
Tell City, IN 47586-2044
Phone (812) 395-2011

421 7TH St
Tell City, IN 47586-2202
Phone (812) 547-7448

PO Box
Suite 23229
Owensboro, KY 42304-3229

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99076677AINMDPhysician Assistant
PA2154KYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc CurrentSince Sep 6, 2016 Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Sep 6, 2016 Accepting new patients
Owensboro Health Medical Group, Inc CurrentSince Nov 15, 2016 Accepting new patients
Owensboro Health Medical Group, Inc Physician Assistant Past Accepting new patients

Locations

27 US Highway 66 E
Tell City, IN 47586
Phone (812) 395-2011

1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600

1301 Pleasant Valley Rd
Ste 500B
Owensboro, KY 42303
Phone (270) 417-7940

2211 Mayfair Dr
Ste 101
Owensboro, KY 42301
Phone (270) 688-1352

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

Organizations & group practices 5

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 3

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": "1466121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1205286556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PLEASANT VALLEY RD",
            "address_2": "SUITE 500B",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423039774",
            "telephone_number": "270-417-7940",
            "fax_number": "270-417-7949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Barret Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204950",
            "country_code": "US",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHONEY",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-17",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "99076677A",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "TC520",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "PA2154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100417770",
            "state": "KY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmahoney64931@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1301 Pleasant Valley Rd",
            "address_2": "Suite 500B",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423039774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmahoney64931@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1200 Barret Blvd",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424204950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

Verify at the official NPI Registry.