NPIMap

Individual provider Active NPI

Lauren Elizabeth Walters, PA-C

  • Medical Physician Assistant
  • Royal Oak, MI
National Provider Identifier
1780007971
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
5601006866 Issued in MI
Practice address
3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770
Phone
(248) 551-0497
NPI assigned
Jan 24, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 5601006866 MI Primary

Addresses

Primary practice location

3535 W 13 Mile Rd Ste 344
Royal Oak, MI 48073-6770

Mailing address

26901 Beaumont Blvd
Southfield, MI 48033-3849

Other practice location 1

43200 Dequindre Rd Ste 101
Sterling Heights, MI 48314-1707
Phone (586) 323-2600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lwalters1260677@epic00.shdirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140429002254 MI Practitioner - Physician Assistant 0244463123 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

3535 W 13 Mile Rd
Royal Oak, MI 48073-6770

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5601006866MIMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Associates of Mi PC CurrentSince Jul 1, 2020 Accepting new patients
Associated Retinal Consultants, PC CurrentSince Aug 10, 2025 Accepting new patients
Allergy & Asthma Physicians of Royal Oak PC PastSince Jul 1, 2020 Accepting new patients
William Beaumont Hospital PastSince Aug 10, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services Past Accepting new patients
William Beaumont Hospital Physician Assistant Past Accepting new patients

Locations

3535 W 13 Mile Rd
Ste 344
Royal Oak, MI 48073
Phone (248) 551-0497

43200 Dequindre Rd
Ste 101
Sterling Hts, MI 48314
Phone (586) 323-2600

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 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": "1390521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1780007971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 W 13 MILE RD STE 344",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736770",
            "telephone_number": "248-551-0497"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "43200 Dequindre Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483141707",
            "country_code": "US",
            "telephone_number": "586-323-2600",
            "fax_number": "586-323-3222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-24",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601006866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lwalters1260677@epic00.shdirect.org",
            "affiliation": "N",
            "address_1": "3535 W 13 Mile Rd Ste 344",
            "city": "Royal Oak",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480736770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.