Active NPI
Lauren Boccagno
- Acute Care Nurse Practitioner
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP019908
- Practice address
- 3400 Spruce St
1 Founders
Philadelphia, PA 19104-4238 - Phone
- (215) 662-4000
- NPI assigned
- Jan 29, 2019
- Last updated
- Jan 29, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| SP019908 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn - Medical Group | Current | Accepting new patients | |
| Pennsylvania Centre for Dermatology, LLC | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | 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
- 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.
-
- Dermatology Physician
- Philadelphia, PA
- NPI 1861501801
-
- Gastroenterology Physician
- Lancaster, PA
- NPI 1043670805
-
- Nephrology Physician
- Philadelphia, PA
- NPI 1629181912
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hospital of the University of Pennsylvania
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.