Individual provider Active NPI

Lauren E Mendicki

  • Family Nurse Practitioner
  • Pittsburg, KS
National Provider Identifier
1275098873
Registry record updated May 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
81210 Issued in KS
Practice address
2305 S Tucker Ter
Pittsburg, KS 66762-6608
Phone
(620) 231-3132
NPI assigned
Feb 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 112596 OK
Family Nurse Practitioner 363LF0000X 81210 KS Primary

Addresses

Primary practice location

2305 S Tucker Ter
Pittsburg, KS 66762-6608

Mailing address

2305 S Tucker Ter
Pittsburg, KS 66762-6608
Phone (620) 231-3132

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20220909000619 KS Practitioner - Nurse Practitioner 6901134394 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
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

2305 S Tucker Ter
Jplmc Fam Med Tucker
Pittsburg, KS 66762-6608
Phone (620) 231-3132

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81210KSMDFamily Nurse Practitioner
112596OKMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince May 22, 2023 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince May 22, 2023 Accepting new patients

Locations

220 N Pennsylvania Ave
Columbus, KS 66725
Phone (620) 429-2545

403 Woodland Hills Blvd
Fort Scott, KS 66701
Phone (417) 556-4762

2305 S Tucker Ter
Pittsburg, KS 66762
Phone (620) 231-3132

Organizations & group practices 2

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 5

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": "1549497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1275098873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER TER",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626608",
            "telephone_number": "620-231-3132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2305 S TUCKER TER",
            "city": "PITTSBURG",
            "state": "KS",
            "postal_code": "667626608",
            "telephone_number": "620-231-3132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDICKI",
        "first_name": "LAUREN",
        "middle_name": "E",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-07",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "112596",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, KS

Sources for this page

Verify at the official NPI Registry.