Individual provider Active NPI

Lauren Marie Zogleman, PA

  • Physician Assistant
  • Wichita, KS
National Provider Identifier
1396262770
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
15-02013 Issued in KS
Practice address
3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone
(316) 928-8930
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 15-02013 KS Primary

Addresses

Primary practice location

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119

Mailing address

3121 N Webb Rd Ste 101
Wichita, KS 67226-8119
Phone (316) 928-8930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20170925003625 KS Practitioner - Physician Assistant 5294009551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas Gastroenterology LLCGroup PAC ID 1355242975, 20 clinicians

Practice addresses (Care Compare)

3121 N Webb Rd
Wichita, KS 67226-8119
Phone (316) 928-8930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
15-02013KSMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Endoscopy LLC PastSince Jul 24, 2022 Accepting new patients

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.

Hospital & facility affiliations 2

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": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396262770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-928-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 N WEBB RD STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672268119",
            "telephone_number": "316-928-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOGLEMAN",
        "first_name": "LAUREN",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "15-02013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.