Individual provider Active NPI

Lauren Elena Lamoureux, PA

  • Physician Assistant
  • Johnson City, NY
National Provider Identifier
1669043220
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
33-57 Harrison St
Johnson City, NY 13790-2107
Phone
(607) 763-6412
Fax
(607) 763-5854
NPI assigned
Jul 6, 2021
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 NY Primary

Addresses

Primary practice location

33-57 Harrison St
Johnson City, NY 13790-2107

Mailing address

33 Lewis Rd
Binghamton, NY 13905-1048
Phone (607) 770-0025

Other practice location 1

1200 Driving Park Ave # 111
Newark, NY 14513-1090
Phone (315) 359-1057

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llamoureux390924@direct.rochesterregional.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA, OR3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20211021003145 NY Practitioner - Physician Assistant 5496143596 Reassigns benefits to 2 organizations
I20250430001045 PA Practitioner - Physician Assistant 5496143596 Reassigns benefits to 3 organizations
I20250710002701 OR Practitioner - Physician Assistant 5496143596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Zoomcare Urgent Care LLCGroup PAC ID 0840640470, 19 clinicians

Practice addresses (Care Compare)

17815 SW 65TH Ave
Lake Oswego, OR 97035-5203
Phone (503) 684-8252

607 NE Grand Ave
Portland, OR 97232-2728
Phone (503) 684-8252

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.59 of 100Reported as group
Quality
78.3
Promoting interoperability
100
Improvement activities
40
Cost
72.17

Merit-based Incentive Payment System (MIPS)

Final score
96.62 of 100Reported as apm
Quality
74.51
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Wayne Community Hospital CurrentSince May 13, 2024 Accepting new patients
Dubois Regional Medical Center CurrentSince Feb 15, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
United Medical Associates, P.C. CurrentSince Oct 18, 2021 Accepting new patients
Newark Wayne Community Hospital CurrentSince May 13, 2024 Accepting new patients
Elk Regional Health Center CurrentSince Feb 15, 2025 Accepting new patients
J C Blair Memorial Hospital CurrentSince Feb 15, 2025 Accepting new patients
Dubois Regional Medical Center CurrentSince Feb 15, 2025 Accepting new patients
Peacehealth Networks on Demand, LLC Past Accepting new patients
Zoomcare PC Past Accepting new patients

Locations

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

1200 Driving Park Ave
#111
Newark, NY 14513
Phone (315) 332-2266

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

809 Turnpike Ave
Clearfield, PA 16830
Phone (814) 765-5341

100 Hospital Ave
Dubois, PA 15801
Phone (814) 375-2040

100 Hospital Ave
Ofc
Dubois, PA 15801

1225 Warm Springs Ave
Huntingdon, PA 16652
Phone (814) 643-8206

763 Johnsonburg Rd
Saint Marys, PA 15857
Phone (814) 788-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/30646/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lauren.lamoureux.4@30646.direct.athenahealth.com
  • Direct secure messaging: llamoureux390924@direct.rochesterregional.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1669043220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS RD",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139051048",
            "telephone_number": "607-770-0025",
            "fax_number": "607-729-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6412",
            "fax_number": "607-763-5854"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Driving Park Ave # 111",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NY",
            "postal_code": "145131090",
            "country_code": "US",
            "telephone_number": "315-359-1057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMOUREUX",
        "first_name": "LAUREN",
        "middle_name": "ELENA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llamoureux390924@direct.rochesterregional.org",
            "affiliation": "N",
            "address_1": "1200 Driving Park Ave # 111",
            "city": "Newark",
            "state": "NY",
            "country_code": "US",
            "postal_code": "145131090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.