Individual provider Active NPI

Lauren Nicole Strohl, PA-C

  • Physician Assistant
  • Leonardtown, MD
National Provider Identifier
1396351813
Registry record updated Dec 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C07684 Issued in MD
Practice address
23000 Moakley St Ste 102
Leonardtown, MD 20650-2916
Phone
(301) 475-5555
Fax
(301) 475-5914
NPI assigned
Sep 21, 2020
Last updated
Dec 30, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C07684 MD Primary
Medical Physician Assistant 363AM0700X C0007684 MD

Addresses

Primary practice location

23000 Moakley St Ste 102
Leonardtown, MD 20650-2916

Mailing address

23000 Moakley St Ste 102
Leonardtown, MD 20650-2916
Phone (301) 475-5555

Other identifiers 1

IdentifierTypeStateIssuer
C0007684OtherMDMARYLAND BOARD OF PHYSICIANS

Other names 1

  • Lauren Nicole Russell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210707003222 MD Practitioner - Physician Assistant 9133549942 Reassigns benefits to 3 organizations
I20220301000314 DC Practitioner - Physician Assistant 9133549942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.93 of 100Reported as group
Quality
86.7
Promoting interoperability
100
Improvement activities
40
Cost
73.06

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 8, 2023 Accepting new patients
Statcare Group, LLC CurrentSince Mar 30, 2021 Accepting new patients
CRH MD Management, LLC CurrentSince Dec 1, 2021 Accepting new patients
Centers for Advanced Orthopaedics, LLC CurrentSince Feb 8, 2023 Accepting new patients
CRH MD Management LLC CurrentSince Feb 1, 2022 Accepting new patients

Locations

1275 Highway 54 W
Ste 201
Fayetteville, GA 30214
Phone (770) 461-3776

590 Lanier Ave W
Fayetteville, GA 30214

10845 Town Center Blvd
Ste 108
Dunkirk, MD 20754
Phone (410) 286-7911

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

14421 Baltimore Ave
Laurel, MD 20707
Phone (240) 786-6684

14421 Baltimore Ave
#12202
Laurel, MD 20707
Phone (240) 786-6684

23000 Moakley St
Ste 102
Leonardtown, MD 20650
Phone (301) 475-5555

130 Hospital Rd
Ste 102
Prince Frederick, MD 20678
Phone (410) 535-8911

11804 Reisterstown Rd
Reisterstown, MD 21136
Phone (410) 870-5094

14090 Hg Trueman Rd
Ste 1300
Solomons, MD 20688
Phone (410) 394-2800

1220A E Joppa Rd
Ste 109
Towson, MD 21286
Phone (410) 296-0018

4225 Altamont Pl
Ste 101
White Plains, MD 20695
Phone (301) 645-0013

Organizations & group practices 8

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672358400000",
    "number": "1396351813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502916",
            "telephone_number": "301-475-5555",
            "fax_number": "301-475-5914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23000 MOAKLEY ST STE 102",
            "city": "LEONARDTOWN",
            "state": "MD",
            "postal_code": "206502916",
            "telephone_number": "301-475-5555",
            "fax_number": "301-475-5914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROHL",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2022-12-30",
        "certification_date": "2022-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C07684",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0007684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF PHYSICIANS",
            "identifier": "C0007684",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "RUSSELL",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leonardtown, MD

Sources for this page

Verify at the official NPI Registry.