Individual provider Active NPI

Lauren Barnes

  • Physician Assistant
  • Mokena, IL
National Provider Identifier
1720480593
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085010717 Issued in IL
Practice address
21202 Owens Rd Ste 201
Mokena, IL 60448-2038
Phone
(312) 694-7337
Fax
(312) 695-0156
NPI assigned
Sep 23, 2014
Last updated
Dec 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C0005561 MD
Physician Assistant 363A00000X 085010717 IL Primary

Addresses

Primary practice location

21202 Owens Rd Ste 201
Mokena, IL 60448-2038

Mailing address

21202 Owens Rd Ste 201
Mokena, IL 60448-2038
Phone (312) 694-7337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, IL2 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
I20141218001304 MD Practitioner - Physician Assistant 9739402009 Reassigns benefits to 1 organization
I20241023003494 IL Practitioner - Physician Assistant 9739402009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

21202 Owens Rd
Suite 101
Mokena, IL 60448-2001
Phone (630) 315-6930

660 N Westmoreland Rd
302 Lake Forest OBGYN
Lake Forest, IL 60045-1673
Phone (312) 926-6146

675 N Saint Clair St
Chicago, IL 60611-5975

675 N St Clair
Chicago, IL 60611-5975

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sinai Hospital of Baltimore Inc CurrentSince Dec 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 14, 2024 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Oct 14, 2024 Accepting new patients
Sinai Hospital of Baltimore, Inc. CurrentSince Dec 1, 2014 Accepting new patients
Central Dupage Physician Group Past Accepting new patients
Sinai Hospital of Baltimore Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

21202 Owens Rd
Ste 201
Mokena, IL 60448
Phone (779) 334-0010

2401 W Belvedere Ave
Baltimore, MD 21215

2411 W Belvedere Ave
Ste 209
Baltimore, MD 21215
Phone (410) 601-2523

2435 W Belvedere Ave
Baltimore, MD 21215
Phone (410) 601-0900

2411 W Belvedere Ave
Ste 206
Baltimore, MD 21215
Phone (410) 578-9030

2435 W Belvedere Ave
Ste 56
Baltimore, MD 21215
Phone (410) 578-8632

2411 W Belvedere Ave
Ste 2
Baltimore, MD 21215
Phone (410) 578-9030

2401 W Belvedere Ave
Ofc
Baltimore, MD 21215
Phone (410) 601-1544

Organizations & group practices 8

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 4

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1720480593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 201",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482038",
            "telephone_number": "312-694-7337",
            "fax_number": "312-695-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21202 OWENS RD STE 201",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482038",
            "telephone_number": "312-694-7337",
            "fax_number": "312-695-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C0005561",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085010717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

Verify at the official NPI Registry.