Individual provider Active NPI

Lauren Casper, PA

  • Physician Assistant
  • Idaho Falls, ID
National Provider Identifier
1245994037
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2157 Issued in ID
Practice address
2100 Alan St
Idaho Falls, ID 83404-5801
Phone
(208) 528-7655
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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 PA-2157 ID Primary

Addresses

Primary practice location

2100 Alan St
Idaho Falls, ID 83404-5801

Mailing address

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

Other practice location 1

2001 S Woodruff Ave Ste 9
Idaho Falls, ID 83404-6371
Phone (208) 419-3002

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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
I20220107001264 ID Practitioner - Physician Assistant 6002207792 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Council of Idaho, Inc.Group PAC ID 6204877467, 18 clinicians

Practice addresses (Care Compare)

1491 Pkwy Dr
Blackfoot, ID 83221-1667
Phone (208) 782-0500

2088 E 25TH St
Idaho Falls, ID 83404-6490

2100 Alan St
Idaho Falls, ID 83404-5801
Phone (208) 528-7655

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2157IDMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Council of Idaho, Inc. Family Medicine CurrentSince Mar 11, 2024 Accepting new patients
Community Council of Idaho, Inc. Family Medicine Past Accepting new patients

Locations

1491 Parkway Dr
Blackfoot, ID 83221
Phone (208) 435-2379

2100 Alan St
Idaho Falls, ID 83404
Phone (208) 470-7979

4002 E 397 N
Ste 3
Rigby, ID 83442
Phone (208) 228-2200

Interoperability endpoints

  • Direct secure messaging: lauren.casper.1@16437.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675987200000",
    "number": "1245994037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-528-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ALAN ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045801",
            "telephone_number": "208-528-7655"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 S Woodruff Ave Ste 9",
            "address_purpose": "LOCATION",
            "city": "Idaho Falls",
            "state": "ID",
            "postal_code": "834046371",
            "country_code": "US",
            "telephone_number": "208-419-3002",
            "fax_number": "208-656-5652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASPER",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": "PA-2157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Idaho Falls, ID

Sources for this page

Verify at the official NPI Registry.