Individual provider Active NPI

Lauren Laurelli, APRN, RNFA

  • Registered Nurse First Assistant
  • Carmel, NY
National Provider Identifier
1548652985
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
613197 Issued in NY
Practice address
664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone
(845) 278-8400
Fax
(845) 278-4323
NPI assigned
Feb 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7613 CT
Family Nurse Practitioner 363LF0000X 339380 NY
Registered Nurse First Assistant 163WR0006X 613197 NY Primary

Addresses

Primary practice location

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940

Mailing address

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3940
Phone (845) 278-8400

Other practice location 1

40 Old Ridgebury Rd Ste 101
Danbury, CT 06810-5119
Phone (845) 278-8400

Other identifiers 1

IdentifierTypeStateIssuer
04155560MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CT2 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
I20150605000833 NY Practitioner - Nurse Practitioner 7214258052 Reassigns benefits to 1 organization
I20190326001359 CT Practitioner - Nurse Practitioner 7214258052 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somers Orthopaedic Surgery and Sports Medicine Group PLLCGroup PAC ID 9638061674, shared by 5 NPIs, 29 clinicians

Practice addresses (Care Compare)

40 Old Ridgebury Rd
Suite 101
Danbury, CT 06810-5123
Phone (203) 397-6872

664 Stoneleigh Ave
Suite 300
Carmel, NY 10512-3990
Phone (845) 278-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
48.77 of 100Reported as group
Quality
35.11
Improvement activities
30
Cost
60.7

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
7613CTMDGeneral Practice Dentistry
613197NYMDRegistered Nurse First Assistant
339380NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC CurrentSince Mar 1, 2015 Accepting new patients
Somers Orthopaedic Surgery & Sports Medicine Group PLLC Family CurrentSince Feb 15, 2015 Accepting new patients

Locations

40 Old Ridgebury Rd
Ste 101
Danbury, CT 06810
Phone (203) 397-6872

664 Stoneleigh Ave
Ste 300
Carmel, NY 10512
Phone 8452788400114

657 E Main St
Ste 3
Mount Kisco, NY 10549
Phone (914) 471-4777

2 Victory Ct
Newburgh, NY 12550
Phone (845) 522-5480

4 Westchester Park Dr
Fl 4
White Plains, NY 10604
Phone (914) 948-3008

Interoperability endpoints

  • Direct secure messaging: lauren.laurelli.1@20311.direct.athenahealth.com
  • Direct secure messaging: llaurelli61222@northwell.direct-ci.com

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1548652985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "664 STONELEIGH AVE",
            "address_2": "SUITE 300",
            "city": "CARMEL",
            "state": "NY",
            "postal_code": "105123940",
            "telephone_number": "845-278-8400",
            "fax_number": "845-278-4323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Old Ridgebury Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068105119",
            "country_code": "US",
            "telephone_number": "845-278-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAURELLI",
        "first_name": "LAUREN",
        "credential": "APRN, RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-23",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "7613",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "339380",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "NY",
            "license": "613197",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04155560",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmel, NY

Sources for this page

Verify at the official NPI Registry.