Individual provider Active NPI

Lauren Deery, PA-C

  • Physician Assistant
  • Prosper, TX
National Provider Identifier
1740757699
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA12377 Issued in TX
Practice address
4200 W University Dr
Prosper, TX 75078-9805
Phone
(682) 303-4200
Fax
(682) 303-4242
NPI assigned
Oct 30, 2018
Last updated
Jul 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 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 NU
Physician Assistant 363A00000X PA12377 TX Primary

Addresses

Primary practice location

4200 W University Dr
Prosper, TX 75078-9805

Mailing address

PO Box 733784
Dallas, TX 75373-3784
Phone (682) 885-6163

Other practice location 1

1301 Medical Pkwy Ste 310
Cedar Park, TX 78613-2529
Phone (512) 472-6134

Other practice location 2

1301 Barbara Jordan Blvd Ste 302
Austin, TX 78723-3078
Phone (512) 472-6134

Other practice location 3

5323 Harry Hines Blvd
Dallas, TX 75390-7201
Phone (214) 645-8765

Other names 1

  • Lauren Ostrov Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ldeery215426@CookChildrens.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211213000321 TX Practitioner - Physician Assistant 9931599693 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.14 of 100Reported as group
Quality
97.48
Promoting interoperability
100
Improvement activities
40
Cost
69.64

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cook Children's Physician Network CurrentSince Jul 1, 2024 Accepting new patients
Urology Clinics of North Texas, PLLC Current Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 7, 2021 Accepting new patients
University of Texas Southwestern Medical Center at Dallas CurrentSince Sep 7, 2021 Accepting new patients
Urology Clinics of North Texas, PLLC Current Accepting new patients
Urology Clinics of North Texas, PLLC CurrentSince Apr 1, 2022 Accepting new patients

Locations

4325 N Josey Ln
Ste 111
Carrollton, TX 75010
Phone (972) 394-3699

7777 Forest Ln
Ste A230
Dallas, TX 75230
Phone (972) 566-7765

4312 Heritage Trace Pkwy
Ste 700
Fort Worth, TX 76244
Phone (214) 692-6282

7000 Calmont Ave
Ste 150
Fort Worth, TX 76116
Phone (682) 885-6163

801 7th Ave
Ft Worth, TX 76104
Phone (682) 885-4054

1631 Lancaster Dr
Ste 350
Grapevine, TX 76051
Phone (214) 915-8502

1650 Republic Pkwy
Ste 130
Mesquite, TX 75150

1650 Republic Pkwy
Ste 150
Mesquite, TX 75150
Phone (214) 692-8262

4708 Alliance Blvd
Ste 835
Plano, TX 75093
Phone (972) 309-0005

6124 W Parker Rd
Ste 434
Plano, TX 75093
Phone (214) 750-0808

6957 W Plano Pkwy
Ste 1400
Plano, TX 75093
Phone (469) 547-6541

4200 W University Dr
Prosper, TX 75078
Phone (682) 303-4200

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

136 El Chico Trl
Ste 102
Willow Park, TX 76087
Phone (817) 441-5412

Interoperability endpoints

  • Direct secure messaging: ldeery215426@cookchildrens.direct-ci.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1740757699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733784",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753733784",
            "telephone_number": "682-885-6163",
            "fax_number": "682-885-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 W UNIVERSITY DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750789805",
            "telephone_number": "682-303-4200",
            "fax_number": "682-303-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Medical Pkwy Ste 310",
            "address_purpose": "LOCATION",
            "city": "Cedar Park",
            "state": "TX",
            "postal_code": "786132529",
            "country_code": "US",
            "telephone_number": "512-472-6134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Barbara Jordan Blvd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787233078",
            "country_code": "US",
            "telephone_number": "512-472-6134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5323 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "753907201",
            "country_code": "US",
            "telephone_number": "214-645-8765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEERY",
        "first_name": "LAUREN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA12377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ldeery215426@CookChildrens.direct-ci.com",
            "affiliation": "N",
            "address_1": "4200 W University Dr",
            "city": "Prosper",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750789805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "OSTROV",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prosper, TX

Sources for this page

Verify at the official NPI Registry.