Individual provider Active NPI

Lauren Kramer, NP

  • Dermatology Physician
  • Wake Forest, NC
National Provider Identifier
1295414563
Registry record updated Dec 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5018381 Issued in NC
Practice address
11640 Northpark Dr Ste 200
Wake Forest, NC 27587-5741
Phone
(919) 307-9461
NPI assigned
Jul 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5018381 NC Primary

Addresses

Primary practice location

11640 Northpark Dr Ste 200
Wake Forest, NC 27587-5741

Mailing address

11640 Northpark Dr Ste 200
Wake Forest, NC 27587-5741
Phone (919) 436-4124

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240501001389 NC Practitioner - Nurse Practitioner 0840630331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Skin Cancer Center, PAGroup PAC ID 0244573319, 8 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 200
Wake Forest, NC 27587-5741
Phone (919) 436-4124

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5018381NCMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Skin Cancer Center, PA CurrentSince Jan 1, 2025 Accepting new patients
Capital Dermatology of NC, PLLC Dermatology PastSince Nov 1, 2023 Accepting new patients

Locations

166 Springbrook Ave
Ste 203
Clayton, NC 27520
Phone (919) 436-4124

11640 Northpark Dr
Ste 200
Wake Forest, NC 27587
Phone (919) 307-9461

110 Capcom Ave
Ste 103
Wake Forest, NC 27587
Phone (919) 436-4124

Interoperability endpoints

  • Direct secure messaging: lkramer@directaddress.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733616000000",
    "number": "1295414563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11640 NORTHPARK DR STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875741",
            "telephone_number": "919-436-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11640 NORTHPARK DR STE 200",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875741",
            "telephone_number": "919-307-9461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "LAUREN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-14",
        "last_updated": "2024-12-08",
        "certification_date": "2024-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "5018381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

Verify at the official NPI Registry.