Individual provider Active NPI

Lauren R Hanify, PA-C

  • Medical Physician Assistant
  • Marthasville, MO
National Provider Identifier
1528500766
Registry record updated Apr 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2016033277 Issued in MO
Practice address
200 State Highway 47
Marthasville, MO 63357-1714
Phone
(636) 266-7365
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2016033277 MO Primary

Addresses

Primary practice location

200 State Highway 47
Marthasville, MO 63357-1714

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (314) 364-7586

Other names 1

  • Lauren R Neier Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20170113000088 MO Practitioner - Physician Assistant 4688954852 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Southern Illinois University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic East CommunitiesGroup PAC ID 7214827922, 573 clinicians

Practice addresses (Care Compare)

200 State Hwy 47
Marthasville, MO 63357-1714
Phone (636) 433-5411

851 E 5TH St
Washington, MO 63090-3130

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 24, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Apr 10, 2017 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 24, 2022 Accepting new patients

Locations

200 State Highway 47
Marthasville, MO 63357
Phone (636) 266-7365

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

851 E 5th St
Ste 328
Washington, MO 63090
Phone (636) 239-1101

901 Patients First Dr
Ste 3800
Washington, MO 63090
Phone (636) 234-3954

Interoperability endpoints

  • Direct secure messaging: lneier793620@directc.mercy.net

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.

Hospital & facility affiliations 4

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1528500766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "314-364-7586",
            "fax_number": "314-645-3801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STATE HIGHWAY 47",
            "city": "MARTHASVILLE",
            "state": "MO",
            "postal_code": "633571714",
            "telephone_number": "636-266-7365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIFY",
        "first_name": "LAUREN",
        "middle_name": "R",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MO",
            "license": "2016033277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "NEIER",
            "middle_name": "R",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marthasville, MO

Sources for this page

Verify at the official NPI Registry.