Active NPI
Lauren Elizabeth Modrall
- Family Nurse Practitioner
- Saginaw, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4704369211
- Practice address
- 1015 S Washington Ave
Saginaw, MI 48601-2556 - Phone
- (989) 754-3000
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704369211 | MI | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Registered Nurse | 163W00000X | 4704369211 | MI |
Addresses
Primary practice location
1015 S Washington Ave
Saginaw, MI 48601-2556
Mailing address
4000 Wellness Dr
Midland, MI 48670-2000
Other practice location 1
3720 Katalin Ct
Bay City, MI 48706-2106
Phone (989) 686-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1015 S Washington Ave
Saginaw, MI 48601-2556
Phone (989) 753-5300
Hospital & facility affiliations
- Mymichigan Medical Center Saginaw
- Covenant Medical Center
- Hills & Dales General Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Current | Accepting new patients | |
| Mymichigan Medical Center Saginaw | Past | Accepting new patients |
Locations
1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413
2050 E Caro Rd
Caro, MI 48723
Phone (989) 672-5001
4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956
503 E Main St
#21
Owosso, MI 48867
3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353
1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289
100 W Argyle St
Ste 4
Sandusky, MI 48471
Phone (810) 648-0562
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Saginaw, MI
- NPI 1326658154
-
- Cardiovascular Disease Physician
- Saginaw, MI
- NPI 1467736132
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1518042530
-
- Neurology Physician
- Saginaw, MI
- NPI 1417427352
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1588656946
-
- Critical Access Hospital
- Cass City, MI
- NPI 1154367001
-
- General Acute Care Hospital
- Saginaw, MI
- NPI 1871507509
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766102400000",
"number": "1609612662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 WELLNESS DR",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486702000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S WASHINGTON AVE",
"city": "SAGINAW",
"state": "MI",
"postal_code": "486012556",
"telephone_number": "989-754-3000"
}
],
"practiceLocations": [
{
"address_1": "3720 Katalin Ct",
"address_purpose": "LOCATION",
"city": "Bay City",
"state": "MI",
"postal_code": "487062106",
"country_code": "US",
"telephone_number": "989-686-2800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MODRALL",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2025-12-19",
"certification_date": "2025-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MI",
"license": "4704369211",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MI",
"license": "4704369211",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saginaw, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; 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.