Individual provider Active NPI

Lauren Herron, AGPCNP-C

  • Adult Health Nurse Practitioner
  • Evansville, IN
National Provider Identifier
1205320637
Registry record updated Jun 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
71008228A Issued in IN
Practice address
3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111
Phone
(812) 485-4200
NPI assigned
Jun 19, 2018
Last updated
Jun 29, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 71008228A IN Primary

Addresses

Primary practice location

3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111

Mailing address

3801 Bellemeade Ave Ste 120
Evansville, IN 47714-0111

Other practice location 1

901 Saint Marys Dr Ste 200
Evansville, IN 47714
Phone (812) 485-6030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lauren.herron.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20180927000453 IN Practitioner - Nurse Practitioner 3476804642 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

3801 Bellemeade Ave
Evansville, IN 47714-0111

801 Saint Marys Dr
505E
Evansville, IN 47714-0528
Phone (812) 491-3236

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as apm

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71008228AINMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
St Mary's Medical Group, LLC CurrentSince Nov 1, 2018 Accepting new patients
St. Mary's Health, Inc Past Accepting new patients

Locations

1116 Millis Ave
Ste 101
Boonville, IN 47601
Phone (812) 897-7175

100 S Rosenberger Ave
Ste B200
Evansville, IN 47712
Phone (812) 433-2000

14020 Old State Rd
Ste C501
Evansville, IN 47725
Phone (812) 469-4745

3801 Bellemeade Ave
Ste 120
Evansville, IN 47714
Phone (812) 485-4200

516 Court St
#A
Evansville, IN 47708
Phone (812) 485-2100

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

901 Saint Marys Dr
Ste 200
Evansville, IN 47714
Phone (812) 485-6030

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

Interoperability endpoints

  • Direct secure messaging: lauren.herron.1@7598.direct.athenahealth.com

Organizations & group practices 3

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": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1205320637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 120",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 BELLEMEADE AVE STE 120",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477140111",
            "telephone_number": "812-485-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Saint Marys Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "47714",
            "country_code": "US",
            "telephone_number": "812-485-6030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRON",
        "first_name": "LAUREN",
        "credential": "AGPCNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "71008228A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lauren.herron.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "3801 Bellemeade Ave Ste 120",
            "city": "Evansville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "477140111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.