Individual provider Active NPI

Lauren Prusinski Fernung, MD, PHD

  • Dermatology Physician
  • Bedford, IN
National Provider Identifier
1689299935
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01095580A Issued in IN
Practice address
2512 Q St
Bedford, IN 47421-4928
Phone
(502) 583-1749
Fax
(502) 329-7599
NPI assigned
Jun 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 01095580A IN Primary
Dermatology Physician 207N00000X 59727 KY
Dermatology Physician 207N00000X 1689299935 GA

Addresses

Primary practice location

2512 Q St
Bedford, IN 47421-4928

Mailing address

PO Box 950132
Louisville, KY 40295-0132
Phone (706) 721-6228

Other practice location 1

1004 Chafee Ave
Augusta, GA 30904-5810
Phone (706) 721-6228

Other practice location 2

3810 Springhurst Blvd Ste 200
Louisville, KY 40241-6162
Phone (502) 583-1749

Other identifiers 2

IdentifierTypeStateIssuer
300105307MedicaidIN
7101010870MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241101001087 KY Practitioner - Dermatology 6103249016 Reassigns benefits to 1 organization
I20250303002984 IN Practitioner - Dermatology 6103249016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Dermatology, PLLCGroup PAC ID 1658263876, 37 clinicians

Practice addresses (Care Compare)

2241 Green Valley Rd
New Albany, IN 47150-4647
Phone (502) 583-1749

3810 Springhurst Blvd
Louisville, KY 40241-6162
Phone (502) 583-1749

Hospital & facility affiliations

  • Indiana University Health Paoli Hospital Hospital, Paoli, IN, CCN 151306

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision87
Removal of tissue1-10
Removal of skin lesions125
Removal of skin cancer245
Removal or shaving of skin growth1-10
Skin biopsy85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1689299935GAMDDermatology Physician
59727KYMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Dermatology, PLLC Dermatology CurrentSince Sep 1, 2024 Accepting new patients

Locations

2512 Q St
Bedford, IN 47421
Phone (812) 277-9692

1005 E Lewis and Clark Pkwy
Clarksville, IN 47129
Phone (812) 280-7500

2241 Green Valley Rd
New Albany, IN 47150
Phone (812) 948-1148

536 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-7459

700 Portland Ave
Ste B
Bardstown, KY 40004
Phone (270) 234-6695

127 Kingswood Dr
Campbellsvlle, KY 42718
Phone (270) 789-3410

1028 N Dixie Ave
Ste 140
Elizabethtown, KY 42701

325 W Walnut St
Ste 300
Lebanon, KY 40033
Phone (270) 692-0735

506 S Main St
Leitchfield, KY 42754
Phone (270) 200-1095

310 S Main St
Leitchfield, KY 42754
Phone (270) 259-4666

9336 Cedar Center Way
Louisville, KY 40291
Phone 50242616211212

3810 Springhurst Blvd
Louisville, KY 40241
Phone (502) 322-1954

4912 US Highway 42
Lowr 208
Louisville, KY 40222
Phone (502) 426-9565

3 Audubon Plaza Dr
Ste 630
Louisville, KY 40217
Phone (502) 636-3794

3810 Springhurst Blvd
Ste 200
Louisville, KY 40241
Phone (317) 780-7400

130 Stonecrest Rd
Ste 104
Shelbyville, KY 40065
Phone (502) 633-3338

Interoperability endpoints

  • Direct secure messaging: lpfernung@assocderm.emadirect.md

Organizations & group practices 1

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 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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1689299935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 950132",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950132",
            "telephone_number": "706-721-6228",
            "fax_number": "706-721-6220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 Q ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474214928",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-7599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1004 Chafee Ave",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309045810",
            "country_code": "US",
            "telephone_number": "706-721-6228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3810 Springhurst Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402416162",
            "country_code": "US",
            "telephone_number": "502-583-1749",
            "fax_number": "502-329-7599",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRUSINSKI FERNUNG",
        "first_name": "LAUREN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01095580A",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "59727",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "GA",
            "license": "1689299935",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300105307",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101010870",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, IN

Sources for this page

Verify at the official NPI Registry.