Lauren Lysiak, FNP, RN

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

347952 Issued in NY

Practice address

5795 Lewiston Rd
Niagara University, NY 14109-9809

Phone

(716) 286-8390

NPI assigned

Jan 26, 2022

Last updated

Oct 10, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

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.

• Wellnow Urgent Care, PC

  dba WellNow Urgent Care

  • Urgent Care Clinic/Center
  • Liverpool, NY
  • NPI 1669825162
  Medicare reassignment NPD
• Niagara University Health Services

  • Health Service Clinic/Center
  • Niagara University, NY
  • NPI 1083976898
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1497407803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2458 INDEPENDENCE AVE",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143012438",
            "telephone_number": "716-243-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5795 LEWISTON RD",
            "city": "NIAGARA UNIVERSITY",
            "state": "NY",
            "postal_code": "141099809",
            "telephone_number": "716-286-8390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LYSIAK",
        "first_name": "LAUREN",
        "credential": "FNP, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "347952",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "737488-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Christine Bannister, ATC
• Janice L Bradley, FNP
• Scott Patrick Mastrobattista, MSED, ATC
• Niagara University Health Services
• Timothy Michael Osberg, PH.D.
• Ayumi Shimada, MA, ATC
• David Robert Vasquez, MS, ATC

• Acute Care Nurse Practitioner in Niagara University, NY
• Providers in Niagara University, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.