Lauren Elaine Broadbelt, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

SP023402 Issued in PA

Practice address

5750 Centre Ave
Suite 360
Pittsburgh, PA 15206

Phone

(412) 361-3950

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Elaine Jernstrom Former name

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Whalen Dermatology of Pittsburgh PCGroup PAC ID 9133552615, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: laurenbroadbelt@whalenderm.medentdirect.com

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.

• Whalen Dermatology of Pittsburgh PC

  • Dermatology Physician
  • Bridgeville, PA
  • NPI 1346882651

  PA

  Medicare reassignment Care Compare group NPD
• Aesthetic Plastic Surgery of Pittsburgh, LLC

  • Specialist
  • Pittsburgh, PA
  • NPI 1841445897
  NPD (past)
• Ran Stark MD PC

  • Plastic Surgery Physician
  • Bryn Mawr, PA
  • NPI 1134693310
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687219200000",
    "number": "1568036853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE",
            "address_2": "SUITE 360",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-361-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 CENTRE AVE",
            "address_2": "SUITE 360",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15206",
            "telephone_number": "412-361-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROADBELT",
        "first_name": "LAUREN",
        "middle_name": "ELAINE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "JERNSTROM",
            "middle_name": "ELAINE",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cynthia Britton
• Nicholas Britton
• Mavis A Britwum, DO
• Julian Harris Broad, MD
• Kayla Broad
• Holly Broadbent-Horvat, CRNA
• David Broadbent, M.D.
• Paige Elizabeth Broadbent
• Lynn M Broadman, MD
• Yvette Lynn Broadnax, MD.

• Nurse Practitioner in Pittsburgh, PA
• Providers in Pittsburgh, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.
• 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.

Verify at the official NPI Registry.