Lauren Elizabeth Anderson
Individual provider Active NPI Physician Assistant · Indianapolis, IN
NPI 1316625429 · NPPES record last updated Jul 10, 2023
Key facts
- NPI
- 1316625429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 1050 Wishard Blvd Ste 3060
Indianapolis, IN 46202-2872 - Phone
- (317) 278-9581
- NPI assigned
- Jul 10, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231229000746 | IL | Practitioner - Physician Assistant | 2264882497 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head & Neck Cosmetic Surgery Associates LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
1050 Wishard Blvd Ste 3060
Indianapolis, IN 46202-2872
Mailing address
185 S Chandler Ave
Elmhurst, IL 60126-3507
Phone (630) 290-5340
Other providers in Indianapolis, IN
- Katherine Marie Anderson
- Kayla Anderson
- Kelsey N Anderson
- Krista A Anderson
- Lakeshia Denise Anderson
- Leigh Alexandra Anderson
- Lindsay T Anderson
- Lindsey Anderson
- Lindsey Lauren Anderson
- Lisa S Anderson
All providers in Indianapolis, IN · Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.