Active NPI
Lauren Elizabeth Brush, PA-C
- Physician Assistant
- Warren, MI
National Provider Identifier
1629406434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601007610
- Practice address
- 13850 E 12 Mile Rd
Warren, MI 48088-3730 - Phone
- (586) 552-4499
- Fax
- (586) 552-4878
- NPI assigned
- Oct 15, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003910 | OH | |
| Physician Assistant | 363A00000X | 5601007610 | MI | Primary |
Addresses
Primary practice location
13850 E 12 Mile Rd
Warren, MI 48088-3730
Mailing address
13850 E 12 Mile Rd
Warren, MI 48088-3730
Phone (586) 552-4499
Other names 1
- Miss Lauren Elizabeth Potestato
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
- Physician Assistant
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13850 E 12 Mile Rd
Warren, MI 48088-3730
Phone (586) 552-4499
Hospital & facility affiliations
- Henry Ford Health Warren Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.52 of 100
- Quality
- 90.31
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 76.41
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5601007610 | MI | MD | Physician Assistant |
| 50.003910 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Physical Medicine & Rehabilitation PC | Current | Accepting new patients | |
| Healthspan Physicians LLC | Past | Accepting new patients |
Locations
13850 E 12 Mile Rd
Warren, MI 48088
Phone (586) 552-4499
Interoperability endpoints
- lbrush1119245@direct.hfhs.org
Organizations & group practices 3
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.
-
- Specialist
- Warren, MI
- NPI 1003993312
-
- Internal Medicine Physician
- Parma, OH
- NPI 1982038840
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Warren, MI
- NPI 1124099858
-
- General Acute Care Hospital
- Madison Heights, MI
- NPI 1215139233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1381795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1629406434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13850 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883730",
"telephone_number": "586-552-4499",
"fax_number": "248-552-4878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13850 E 12 MILE RD",
"city": "WARREN",
"state": "MI",
"postal_code": "480883730",
"telephone_number": "586-552-4499",
"fax_number": "586-552-4878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRUSH",
"first_name": "LAUREN",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-15",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003910",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601007610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "POTESTATO",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Warren, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; 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.