NPIMap

Individual provider Active NPI

Lauren Moore, PA-C

  • Physician Assistant
  • Sellersville, PA
National Provider Identifier
1578840922
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055225 Issued in PA
Practice address
1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone
(484) 526-6545
Fax
(267) 985-5001
NPI assigned
Nov 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA055225 PA Primary

Addresses

Primary practice location

1107 Bethlehem Pike
Sellersville, PA 18960-1454

Mailing address

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (484) 526-6545

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120206000761 PA Practitioner - Physician Assistant 8820255698 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

1021 Park Ave
Quakertown, PA 18951-0130

1107 Bethlehem Pike
Sellersville, PA 18960-1454
Phone (267) 985-5000

3000 St Lukes Dr
Quakertown, PA 18951-1696
Phone (484) 526-3950

700 Lawn Ave
Sellersville, PA 18960-1548
Phone (484) 822-5700

801 Ostrm St
Bethlehem, PA 18015-1000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. CurrentSince Jun 26, 2023 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Jun 26, 2023 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2022 Accepting new patients
Einstein Practice Plan Inc CurrentSince Jul 1, 2022 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

142 Clemens Rd
Ste 200
Harleysville, PA 19438
Phone (267) 985-5000

700 Cottman Ave
Ste 201
Philadelphia, PA 19111
Phone (215) 742-8123

5401 Old York Rd
#B
Philadelphia, PA 19141
Phone (215) 324-3399

5501 Old York Rd
Ste 3
Philadelphia, PA 19141
Phone (215) 456-7180

1107 Bethlehem Pike
Sellersville, PA 18960
Phone (215) 257-3011

Interoperability endpoints

  • Direct secure messaging: lmoore304578@direct-sluhn.org
  • Direct secure messaging: lauren.moore@direct.einstein.edu

Organizations & group practices 7

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 8

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": "1321228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1578840922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601454",
            "telephone_number": "484-526-6545",
            "fax_number": "267-985-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 BETHLEHEM PIKE",
            "city": "SELLERSVILLE",
            "state": "PA",
            "postal_code": "189601454",
            "telephone_number": "484-526-6545",
            "fax_number": "267-985-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORE",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-14",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sellersville, PA

Sources for this page

Verify at the official NPI Registry.