Individual provider Active NPI

Lauren Copp, PA-C

  • Physician Assistant
  • Springfield, MO
National Provider Identifier
1720328248
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025012355 Issued in MO
Practice address
1240 E Independence St
Springfield, MO 65804-4386
Phone
(417) 888-0858
Fax
(417) 889-0476
NPI assigned
Feb 20, 2013
Last updated
Jun 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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 2025012355 MO Primary

Addresses

Primary practice location

1240 E Independence St
Springfield, MO 65804-4386

Mailing address

1240 E Independence St
Springfield, MO 65804-4386
Phone (417) 888-0858

Other practice location 1

331 Hospital Dr Ste C
Lebanon, MO 65536-9251
Phone (417) 888-0858

Other practice location 2

2200 E Cleveland St
Monett, MO 65708-6149
Phone (417) 888-0858

Other practice location 3

590 Birch Rd Ste 2C
Hollister, MO 65672-9607
Phone (417) 690-3858

Other practice location 4

3850 S National Ave Ste 705
Springfield, MO 65807-5239
Phone (417) 888-0858

Other names 1

  • Lauren Nicole Bennett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, MO2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220519000024 MS Practitioner - Physician Assistant 2961717335 Reassigns benefits to 1 organization
I20250515000237 MO Practitioner - Physician Assistant 2961717335 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forefront Dermatology SCGroup PAC ID 3779471701, 650 clinicians
Mike Swann, MD, LLCGroup PAC ID 0941346068, 10 clinicians

Practice addresses (Care Compare)

1223 Maple St
Farmington, MO 63640-7616
Phone (573) 760-0091

1240 E Independence St
Springfield, MO 65804-4201
Phone (417) 900-3407

1240 E Independence St
Springfield, MO 65804-4386
Phone (417) 888-0858

3850 S National
Suite 705
Springfield, MO 65807-5239

3850 S National Ave
Suite 705
Springfield, MO 65807-5239
Phone (417) 888-0858

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forefront Dermatology, S.C. CurrentSince Dec 30, 2025 Accepting new patients
Hattiesburg Clinic PA CurrentSince May 11, 2022 Accepting new patients
Forefront Dermatology, S.C. CurrentSince Dec 30, 2025 Accepting new patients
Hattiesburg Clinic, PA CurrentSince May 11, 2022 Accepting new patients
Hattiesburg Clinic, PA PastSince May 1, 2022 Accepting new patients
The Metrohealth System Past Accepting new patients

Locations

1223 Maple St
Farmington, MO 63640
Phone (573) 760-0091

590 Birch Rd
Ste 2C
Hollister, MO 65672
Phone (417) 335-7337

331 Hospital Dr
Ste C
Lebanon, MO 65536
Phone (417) 334-7200

2200 E Cleveland St
Monett, MO 65708
Phone (417) 236-2600

1240 E Independence St
Ste 100
Springfield, MO 65804
Phone (417) 863-7100

1240 E Independence St
Ste 200
Springfield, MO 65804
Phone (417) 900-3407

3850 S National Ave
Ste 705
Springfield, MO 65807
Phone (417) 888-0858

3 Thompson Park
Hattiesburg, MS 39401
Phone (601) 579-3130

415 S 28th Ave
Hattiesburg, MS 39401
Phone (601) 261-3606

Interoperability endpoints

  • Direct secure messaging: lbennett121254@directpatientrecord.com

Organizations & group practices 7

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": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1720328248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1240 E INDEPENDENCE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044386",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 E INDEPENDENCE ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044386",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "331 Hospital Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "MO",
            "postal_code": "655369251",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 E Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Monett",
            "state": "MO",
            "postal_code": "657086149",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "590 Birch Rd Ste 2C",
            "address_purpose": "LOCATION",
            "city": "Hollister",
            "state": "MO",
            "postal_code": "656729607",
            "country_code": "US",
            "telephone_number": "417-690-3858",
            "fax_number": "417-690-3862",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3850 S National Ave Ste 705",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658075239",
            "country_code": "US",
            "telephone_number": "417-888-0858",
            "fax_number": "417-889-0476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COPP",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025012355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BENNETT",
            "middle_name": "NICOLE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, MO

Sources for this page

Verify at the official NPI Registry.