Lauren Renee Jandorf, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

903782 Issued in MS

Practice address

1391 Broad Ave Ste 320
Gulfport, MS 39501-2419

Phone

(228) 575-1775

Fax

(228) 575-1770

NPI assigned

Jan 22, 2020

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lauren Renee Meaut Former name

Medicare fee-for-service enrollment

Enrolled in MS

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

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primesource Nursing Services, IncGroup PAC ID 7113966037, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmeaut@direct.mhg.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Primesource Nursing Services, Inc

  • Family Nurse Practitioner
  • Gulfport, MS
  • NPI 1962573170
  Medicare reassignment Care Compare group NPD
• Primesource Nursing Services, Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Gulfport, MS
  • NPI 1952884652
  NPD
• Primesource Nursing Services, Inc

  • Nurse Practitioner
  • Gulfport, MS
  • NPI 1801987870
  NPD (past)

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1669002333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 HOLCOMB BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395645029",
            "telephone_number": "228-217-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1391 BROAD AVE STE 320",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395012419",
            "telephone_number": "228-575-1775",
            "fax_number": "228-575-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDORF",
        "first_name": "LAUREN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "903782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "MEAUT",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diane C. Jakins, ACNP
• Shwan Mohamad Dhahir Jalal, M.D.
• Sarah Elisa James, RBT
• Shaccase Denise James
• Stephen Charles James, M.D.
• Brandon Jasmin
• Jay J Libys MD PA
• Michelle Jeanfreau, PH.D.
• Jeannette Bolte, PH.D, PLLC
• Jeffery Y. Taylor DMD, PA

• Family Nurse Practitioner in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.

Verify at the official NPI Registry.