Individual provider Active NPI

Lauren Marko, PA

  • Physician Assistant
  • Grand Blanc, MI
National Provider Identifier
1316767437
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601012860 Issued in MI
Practice address
9468 S Saginaw Rd Ste B
Grand Blanc, MI 48439-9669
Phone
(810) 445-5500
Fax
(810) 445-5600
NPI assigned
Oct 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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 5601012860 MI Primary

Addresses

Primary practice location

9468 S Saginaw Rd Ste B
Grand Blanc, MI 48439-9669

Mailing address

9468 S Saginaw Rd Ste B
Grand Blanc, MI 48439-9669
Phone (810) 445-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20250418000090 MI Practitioner - Physician Assistant 1052836467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rochester Neurological Center, PCGroup PAC ID 4587651856, 3 clinicians

Practice addresses (Care Compare)

940 W Avon Rd
Suite 8
Rochester Hills, MI 48307-2760
Phone (248) 651-5600

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
You Be Well II PC CurrentSince Feb 1, 2025 Accepting new patients

Locations

9468 S Saginaw Rd
Ste B
Grand Blanc, MI 48439
Phone (810) 445-5500

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": "1728864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1316767437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9468 S SAGINAW RD STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399669",
            "telephone_number": "810-445-5500",
            "fax_number": "810-445-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9468 S SAGINAW RD STE B",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484399669",
            "telephone_number": "810-445-5500",
            "fax_number": "810-445-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKO",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-14",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601012860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.