Individual provider Active NPI

Lauren Boccagno

  • Acute Care Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1679037220
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP019908 Issued in PA
Practice address
3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238
Phone
(215) 662-4000
NPI assigned
Jan 29, 2019
Last updated
Jan 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP019908 PA Primary

Addresses

Primary practice location

3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238
Phone (215) 662-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20190214001140 PA Practitioner - Nurse Practitioner 6406194539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pennsylvania Centre for Dermatology, LLCGroup PAC ID 4183603335, 40 clinicians

Practice addresses (Care Compare)

701 E Baltimore Pike
Kennett Square, PA 19348-2400
Phone (610) 594-6660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019908PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group Current Accepting new patients
University of Penn - Medical Group CurrentSince Mar 4, 2019 Accepting new patients
Pennsylvania Centre for Dermatology, LLC CurrentSince Jul 4, 2023 Accepting new patients
University of Penn-Medical Group CurrentSince Mar 4, 2019 Accepting new patients

Locations

213 Reeceville Rd
Ste 35
Coatesville, PA 19320
Phone (610) 466-0300

501 Gordon Dr
Exton, PA 19341
Phone (610) 594-6660

701 E Baltimore Pike
Kennett Square, PA 19348
Phone (610) 444-0070

120 Valley Green Ln
Fl 5
King of Prussia, PA 19406
Phone (484) 444-2243

3400 Civic Center Blvd
#1S
Philadelphia, PA 19104
Phone (215) 615-3321

3400 Spruce St
Fl 1
Philadelphia, PA 19104
Phone (215) 662-3005

3823 Market St
Philadelphia, PA 19104
Phone (215) 222-0671

822 Pine St
Ste 2A
Philadelphia, PA 19107
Phone (267) 519-0154

PO B0x 824320
Philadelphia, PA 19182

213 Reeceville Rd
Ste 14
West Brandywine, PA 19320

Interoperability endpoints

  • Direct secure messaging: lauren.boccagno@schweigerderm.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1679037220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 FOUNDERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "1 FOUNDERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-662-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOCCAGNO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP019908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.