Individual provider Active NPI

Lauren Fusaro, PA-C

  • Physician Assistant
  • Connellsville, PA
National Provider Identifier
1366987307
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA058802 Issued in PA
Practice address
401 E Murphy Ave
Connellsville, PA 15425-2724
Phone
(724) 628-1500
NPI assigned
Dec 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA058802 PA
Physician Assistant 363A00000X MA058802 PA Primary

Addresses

Primary practice location

401 E Murphy Ave
Connellsville, PA 15425-2724

Mailing address

2610 Haymaker Farm Rd
Export, PA 15632-9374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20170328001779 PA Practitioner - Physician Assistant 0446535777 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Directions Mental Health, PCGroup PAC ID 0345228318, 153 clinicians

Practice addresses (Care Compare)

110 Hidden Valley Rd
MC Murray, PA 15317-2685
Phone (724) 374-3468

117 Vip Dr
Suite 310
Wexford, PA 15090-6936
Phone (724) 374-3468

180 Fort Couch Rd
Suite 304
Pittsburgh, PA 15241-1041
Phone (724) 374-3468

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA058802PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Highlands Hospital and Health Center CurrentSince Jan 17, 2017 Accepting new patients
Highlands Hospital and Health Center Physician Assistant CurrentSince Jan 17, 2017 Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

401 E Murphy Ave
Connellsville, PA 15425
Phone (724) 626-2343

Organizations & group practices 4

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": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1366987307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2610 HAYMAKER FARM RD",
            "city": "EXPORT",
            "state": "PA",
            "postal_code": "156329374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E MURPHY AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154252724",
            "telephone_number": "724-628-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUSARO",
        "first_name": "LAUREN",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA058802",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

Verify at the official NPI Registry.