Active NPI
Lauren Flynn, PA
- Physician Assistant
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 6114
- Practice address
- 1840 Wealthy St SE
Grand Rapids, MI 49506-2921 - Phone
- (616) 391-1730
- NPI assigned
- May 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601013280 | MI | |
| Physician Assistant | 363A00000X | 6114 | TN | Primary |
Addresses
Primary practice location
1840 Wealthy St SE
Grand Rapids, MI 49506-2921
Mailing address
4100 Embassy Dr SE Ste 200
Grand Rapids, MI 49546-2416
Phone (616) 975-1845
Other practice location 1
1636 New Salem Hwy
Murfreesboro, TN 37128-7037
Phone (615) 900-1176
Other practice location 2
3266 Memorial Blvd
Murfreesboro, TN 37129-3578
Phone (615) 900-3515
Other practice location 3
5607 Franklin Rd Ste A1
Murfreesboro, TN 37128-3547
Phone (615) 962-7727
Other practice location 4
3400 S Church St Ste B1
Murfreesboro, TN 37127-7218
Phone (615) 639-5515
Other practice location 5
1574 Medical Center Pkwy
Murfreesboro, TN 37129-3760
Phone (615) 225-2070
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
Enrollment records 1
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
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 391-1680
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6114 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trevecca Nazarene University | Past | Accepting new patients | |
| Gateway Healthcare, PC | Past | Accepting new patients | |
| Gateway Primary Care LLC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1992281000
-
- Emergency Medicine Physician
- Grand Rapids, MI
- NPI 1538216569
-
- Urgent Care Clinic/Center
- Murfreesboro, TN
- NPI 1770035214
-
- Primary Care Clinic/Center
- Murfreesboro, TN
- NPI 1912688250
-
- Local Education Agency (LEA)
- Nashville, TN
- NPI 1033407952
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hastings, MI
- NPI 1932695525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768521600000",
"number": "1467143669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 EMBASSY DR SE STE 200",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495462416",
"telephone_number": "616-975-1845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1840 WEALTHY ST SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495062921",
"telephone_number": "616-391-1730"
}
],
"practiceLocations": [
{
"address_1": "1636 New Salem Hwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371287037",
"country_code": "US",
"telephone_number": "615-900-1176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3266 Memorial Blvd",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371293578",
"country_code": "US",
"telephone_number": "615-900-3515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5607 Franklin Rd Ste A1",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371283547",
"country_code": "US",
"telephone_number": "615-962-7727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 S Church St Ste B1",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371277218",
"country_code": "US",
"telephone_number": "615-639-5515",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1574 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Murfreesboro",
"state": "TN",
"postal_code": "371293760",
"country_code": "US",
"telephone_number": "615-225-2070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLYNN",
"first_name": "LAUREN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-17",
"last_updated": "2026-01-16",
"certification_date": "2026-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601013280",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "6114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.