Individual provider Active NPI

Lauren Christine Sanderson

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1205315009
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018029470 Issued in MO
Practice address
13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone
(314) 492-2323
Fax
(314) 582-1010
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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 2018029470 MO Primary

Addresses

Primary practice location

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703

Mailing address

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone (313) 492-2323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20190418002210 MO Practitioner - Nurse Practitioner 4082955174 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri St Louis - School of Optometry, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Rheumatology LLCGroup PAC ID 7719232933, 6 clinicians

Practice addresses (Care Compare)

13100 Manchester Rd
Suite 70
Saint Louis, MO 63131-1703
Phone (314) 983-9898

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077
  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179
  • Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
  • Mercy Hospital St Louis Hospital, Saint Louis, MO, CCN 260020

Merit-based Incentive Payment System (MIPS)

Final score
69.07 of 100Reported as group
Quality
61.67
Improvement activities
40
Cost
48.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2018029470MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West County Rheumatology, LLC CurrentSince Apr 10, 2019 Accepting new patients

Locations

13100 Manchester Rd
Saint Louis, MO 63131

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

13100 Manchester Rd
Ste 70
Saint Louis, MO 63131
Phone (314) 492-2323

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIDJDD/Endpoint/HIDJDD

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1205315009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "313-492-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323",
            "fax_number": "314-582-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "LAUREN",
        "middle_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018029470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.