Individual provider Active NPI

Lauren Michelle Mohamed, DNP

  • Adult Health Nurse Practitioner
  • Yuma, AZ
National Provider Identifier
1346815065
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
257975 Issued in AZ
Practice address
2281 W 24TH St Ste 2
Yuma, AZ 85364-6197
Phone
(928) 344-3232
NPI assigned
May 25, 2021
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 257975 AZ Primary
Primary Care Nurse Practitioner 363LP2300X 257975 AZ

Addresses

Primary practice location

2281 W 24TH St Ste 2
Yuma, AZ 85364-6197

Mailing address

1088 S Bardeaux Ave
Yuma, AZ 85364-4131
Phone (928) 920-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20210903002397 AZ Practitioner - Nurse Practitioner 2567862378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gregory L Peare, M.D., P.C.Group PAC ID 7911894357, 2 clinicians

Practice addresses (Care Compare)

2281 W 24TH St
Suite 2
Yuma, AZ 85364-6197
Phone (928) 344-3232

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.28 of 100Reported as group
Quality
85.9
Promoting interoperability
100
Improvement activities
40
Cost
28.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257975AZMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Peare, M.D., P.C. CurrentSince Jun 1, 2021 Accepting new patients

Locations

2281 W 24th St
Ste 2
Yuma, AZ 85364
Phone (928) 334-3232

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1621900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1346815065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 S BARDEAUX AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853644131",
            "telephone_number": "928-920-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2281 W 24TH ST STE 2",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853646197",
            "telephone_number": "928-344-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "LAUREN",
        "middle_name": "MICHELLE",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-25",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "257975",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AZ",
            "license": "257975",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

Verify at the official NPI Registry.