Individual provider Active NPI

Lauren Mizikowski

  • Physician Assistant
  • Butler, PA
National Provider Identifier
1710360193
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA057664 Issued in PA
Practice address
1 Hospital Way
Butler, PA 16001-4670
Phone
(724) 283-6666
NPI assigned
Jul 3, 2015
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 MA057664 PA Primary

Addresses

Primary practice location

1 Hospital Way
Butler, PA 16001-4670

Mailing address

170 Creek Side Dr
Sarver, PA 16055-1711
Phone (724) 681-2750

Other names 1

  • Lauren Aretz Former name

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
I20230531002061 PA Practitioner - Physician Assistant 8325405798 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA057664PAMDPhysician Assistant

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

NPI Registry JSON

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

{
    "created_epoch": "1435881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1710360193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 CREEK SIDE DR",
            "city": "SARVER",
            "state": "PA",
            "postal_code": "160551711",
            "telephone_number": "724-681-2750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL WAY",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014670",
            "telephone_number": "724-283-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZIKOWSKI",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-03",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA057664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "ARETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Butler, PA

Sources for this page

Verify at the official NPI Registry.