Individual provider Active NPI

Lauren Staton, PA

  • Physician Assistant
  • Grace City, ND
National Provider Identifier
1750140919
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
8337 12TH St NE
Grace City, ND 58445-9240
Phone
(701) 650-7465
NPI assigned
Mar 18, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

8337 12TH St NE
Grace City, ND 58445-9240

Mailing address

8337 12TH St NE
Grace City, ND 58445-9240
Phone (701) 650-7465

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
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
I20240823001609 ND Practitioner - Physician Assistant 5890234744 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Dakota School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carrington Health CenterGroup PAC ID 0547177552, 12 clinicians

Practice addresses (Care Compare)

820 N 5TH St
Carrington, ND 58421-1223
Phone (701) 652-2515

Hospital & facility affiliations

  • Carrington Health Center Hospital, Carrington, ND, CCN 351318

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carrington Health Center CurrentSince Aug 1, 2024 Accepting new patients
Carrington Health Center CurrentSince Aug 1, 2024 Accepting new patients
Carrington Health Center CurrentSince Aug 1, 2024 Accepting new patients

Locations

7776 Solutions Ctr
Chicago, IL 60677

820 5th St N
Carrington, ND 58421
Phone (701) 399-0123

800 4th St N
Carrington, ND 58421
Phone (701) 652-3141

Interoperability endpoints

  • Direct secure messaging: laurenstaton@normd.allscriptsdirect.net

Organizations & group practices 4

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 1

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": "1710720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1750140919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8337 12TH ST NE",
            "city": "GRACE CITY",
            "state": "ND",
            "postal_code": "584459240",
            "telephone_number": "701-650-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8337 12TH ST NE",
            "city": "GRACE CITY",
            "state": "ND",
            "postal_code": "584459240",
            "telephone_number": "701-650-7465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATON",
        "first_name": "LAUREN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-18",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grace City, ND

Sources for this page

Verify at the official NPI Registry.