Individual provider Active NPI

Lauren Prebish, PA-C

  • Medical Physician Assistant
  • Colorado Springs, CO
National Provider Identifier
1730659608
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA.0007737 Issued in CO
Practice address
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone
(719) 776-8040
Fax
(719) 776-8050
NPI assigned
Dec 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005823RX OH
Medical Physician Assistant 363AM0700X PA.0007737 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Mailing address

85 McNaughten Rd Ste 110
Columbus, OH 43213-5111

Other practice location 1

85 McNaughten Rd Ste 110
Columbus, OH 43213-5111
Phone (614) 627-2000

Other practice location 2

6001 E Broad St
Columbus, OH 43213-1570
Phone (614) 234-6000

Other names 1

  • Lauren Brown Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lbrown1547175@direct.trinity-health.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CO2 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
I20190208002288 OH Practitioner - Physician Assistant 7113265570 Reassigns benefits to 1 organization
I20230512001933 CO Practitioner - Physician Assistant 7113265570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

41 State Hwy 67
Woodland Park, CO 80863-5008
Phone (719) 776-4780

Hospital & facility affiliations

  • Centura Health-Penrose St Francis Health Services Hospital, Colorado Springs, CO, CCN 060031

Merit-based Incentive Payment System (MIPS)

Final score
89.06 of 100Reported as group
Quality
89.53
Promoting interoperability
100
Improvement activities
40
Cost
74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.005823RXOHMDPhysician Assistant
PA.0007737COMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Corporation CurrentSince Mar 1, 2019 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2023 Accepting new patients
Catholic Health Initiatives Colorado CurrentSince Jun 1, 2023 Accepting new patients
Portercare Adventist Health System CurrentSince Jun 1, 2023 Accepting new patients

Locations

9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193

2222 N Nevada Ave
Colorado Springs, CO 80907
Phone (719) 776-5333

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

85 McNaughten Rd
Ste 110
Columbus, OH 43213
Phone (614) 751-8846

3535 Olentangy River Rd
Columbus, OH 43214
Phone (614) 566-1997

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1730659608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 MCNAUGHTEN RD STE 110",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432135111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "719-776-8040",
            "fax_number": "719-776-8050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "85 McNaughten Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432135111",
            "country_code": "US",
            "telephone_number": "614-627-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6001 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432131570",
            "country_code": "US",
            "telephone_number": "614-234-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREBISH",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005823RX",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "PA.0007737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lbrown1547175@direct.trinity-health.org",
            "affiliation": "N",
            "endpointDescription": "Mount Carmel Health Columbus Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "85 McNaughten Rd Ste 110",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432135111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.