Individual provider Active NPI

Lauren Iacovino, BSN, MS, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Harwich Port, MA
National Provider Identifier
1639547441
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN2299333 Issued in MA
Practice address
710 Route 28
Harwich Port, MA 02646-1931
Phone
(508) 432-1400
Fax
(508) 487-6298
NPI assigned
Sep 10, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RN2299333 MA Primary

Addresses

Primary practice location

710 Route 28
Harwich Port, MA 02646-1931

Mailing address

PO Box 2796
Orleans, MA 02653-6796
Phone (508) 432-1400

Other identifiers 1

IdentifierTypeStateIssuer
110117917AMedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20161111000768 MA Practitioner - Nurse Practitioner 9234418492 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outer Cape Health Services IncGroup PAC ID 4385554971, 51 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

710 Route 28
Harwich Port, MA 02646-1931
Phone (508) 432-1400

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2299333MAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Outer Cape Health Services, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Harbor Health Services Inc CurrentSince Oct 1, 2016 Accepting new patients
Outer Cape Health Services, Inc. CurrentSince Feb 5, 2024 Accepting new patients
Outer Cape Health Services Past Accepting new patients

Locations

250 Mount Vernon St
Dorchester, MA 02125
Phone (617) 288-1140

398 Neponset Ave
Dorchester, MA 02122
Phone (617) 282-3200

1135 Morton St
Mattapan, MA 02126
Phone (617) 533-2300

49 Harry Kemp Way
Provincetown, MA 02657
Phone (508) 487-9395

Interoperability endpoints

  • Direct secure messaging: liacovino322474@direct.ochin.org

Organizations & group practices 5

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 6

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": "1441843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1639547441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2796",
            "city": "ORLEANS",
            "state": "MA",
            "postal_code": "026536796",
            "telephone_number": "508-432-1400",
            "fax_number": "508-487-6298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 ROUTE 28",
            "city": "HARWICH PORT",
            "state": "MA",
            "postal_code": "026461931",
            "telephone_number": "508-432-1400",
            "fax_number": "508-487-6298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IACOVINO",
        "first_name": "LAUREN",
        "credential": "BSN, MS, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-10",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "RN2299333",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110117917A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harwich Port, MA

Sources for this page

Verify at the official NPI Registry.