Lauren Kay Polvino, PA-C, CDE

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA0000001981 Issued in TN

Practice address

1130 Middle Creek Rd
Suite 260
Sevierville, TN 37862

Phone

(865) 428-7586

Fax

(865) 428-8671

NPI assigned

Feb 26, 2007

Sex

Female

Sole proprietor

No

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 TN

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

Physician Assistant

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Champion Physical Therapy LLC HallsGroup PAC ID 1355416306, shared by 4 NPIs, 277 clinicians

Uhs Primary Care LLCGroup PAC ID 1153849856, 92 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• University of TN Medical Center Home Care Services Home health agency, Knoxville, TN, CCN 447230
• University Health System, Inc Hospital, Knoxville, TN, CCN 440015
• Leconte Medical Center Hospital, Sevierville, TN, CCN 440081

Merit-based Incentive Payment System (MIPS)

Final score

96.48 of 100Reported as apm

Quality

86.23

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lauren.polvino@direct.utmck.edu

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.

• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Lenoir City, TN
  • NPI 1770381196
  Medicare reassignment Care Compare group
• University Health System, Inc

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1790738763
  Medicare reassignment
• Uhs Primary Care LLC

  • Internal Medicine Physician
  • Knoxville, TN
  • NPI 1265328025
  NPD
• Uhs Primary Care LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1710785134
  NPD
• University Health System Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Knoxville, TN
  • NPI 1306609748
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1508096702
  NPD
• University Health System, Inc

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Knoxville, TN
  • NPI 1740664986
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Sevierville, TN
  • NPI 1922292101
  NPD
• University Health System, Inc

  • Family Medicine Physician
  • Seymour, TN
  • NPI 1962680223
  NPD
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  NPD
• Knoxville Neurology Specialists, PLLC

  • Neurology Physician
  • Knoxville, TN
  • NPI 1720003338
  NPD (past)
• Uhs Primary Care LLC

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1528865656
  NPD (past)

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

• Leconte Medical Center

  • General Acute Care Hospital
  • Sevierville, TN
  • NPI 1528052578
  Care Compare affiliation
• University Health System, Inc.

  • General Acute Care Hospital
  • Knoxville, TN
  • NPI 1538164090
  Care Compare affiliation
• University of TN Medical Center Home Care Services, LLC

  • Home Health Agency
  • Knoxville, TN
  • NPI 1346460953
  Care Compare affiliation

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1578699005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD",
            "address_2": "SUITE 260",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-428-7586",
            "fax_number": "865-428-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 MIDDLE CREEK RD",
            "address_2": "SUITE 260",
            "city": "SEVIERVILLE",
            "state": "TN",
            "postal_code": "37862",
            "telephone_number": "865-428-7586",
            "fax_number": "865-428-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLVINO",
        "first_name": "LAUREN",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "PA-C, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00034700",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TN",
            "license": "PA0000001981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Ann Pickens, M.A.
• Pippin Dental Care
• William H Pippin Jr., DDS
• Debbie Pitner, NA
• Brittany Poe
• Wendy C Pomeroy, NP
• Deanne Poole, RN
• Wendell Keith Porter, PA-C
• Amanda Johnson Potter, PHARMD
• Carmen Jaylon Potter

• Medical Physician Assistant in Sevierville, TN
• Providers in Sevierville, TN by specialty
• Medical Physician Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.