Individual provider Active NPI

Lauren Raudenbush, CRNP

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1316499890
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP017026 Issued in PA
Practice address
3400 Spruce St
3 Ravdin BLDG. Ste. F
Philadelphia, PA 19104-4238
Phone
(215) 662-3202
NPI assigned
Oct 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP017026 PA Primary

Addresses

Primary practice location

3400 Spruce St
3 Ravdin BLDG. Ste. F
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
3 Ravdin BLDG. Ste. F
Philadelphia, PA 19104-4238

Other names 1

  • Lauren Powell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170127000653 PA Practitioner - Nurse Practitioner 5395027387 Reassigns benefits to 3 organizations
I20250124001267 NJ Practitioner - Nurse Practitioner 5395027387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, shared by 15 NPIs, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 220
Cherry Hill Smoke Cess
Cherry Hill, NJ 08003-2013
Phone (888) 736-6786

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-9436

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince Jan 30, 2017 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Nov 22, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jun 1, 2022 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jun 1, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jan 30, 2017 Accepting new patients
University of Penn - Medical Group Current Accepting new patients
University of Penn - Medical Group CurrentSince Nov 18, 2021 Accepting new patients
University of Penn - Medical Group Current Accepting new patients

Locations

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 3
Philadelphia, PA 19104

3400 Spruce St
Ste F
Philadelphia, PA 19104
Phone (215) 662-3823

3400 Spruce St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-2891

PO B0x 824320
Philadelphia, PA 19182

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

Organizations & group practices 9

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 4

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": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1316499890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "3 RAVDIN BLDG. STE. F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "3 RAVDIN BLDG. STE. F",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-3202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUDENBUSH",
        "first_name": "LAUREN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-31",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP017026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "POWELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.