Individual provider Active NPI

Lauren Ann Amenedo, FNP

  • Family Nurse Practitioner
  • Port Chester, NY
National Provider Identifier
1790969996
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335225 Issued in NY
Practice address
113 Bowman Ave,
Portchester Middle School
Portchester, NY 10573-2808
Phone
(914) 939-1477
NPI assigned
Dec 24, 2007
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335225 NY Primary

Addresses

Primary practice location

113 Bowman Ave,
Portchester Middle School
Portchester, NY 10573-2808

Mailing address

165 Main St.
Open Door Family Medical Center
Ossining, NY 10562-4702
Phone (914) 941-1263

Other names 1

  • Mrs. Lauren Ann Warner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110715000148 NY Practitioner - Nurse Practitioner 9032387121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

259 Heathcote Rd
Scarsdale, NY 10583-4523
Phone (914) 328-8444

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
335225NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Feb 1, 2021 Accepting new patients

Locations

600 Mamaroneck Ave
Ste 200
Harrison, NY 10528
Phone 9147238100116

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

259 Heathcote Rd
Scarsdale, NY 10583
Phone (914) 328-8444

222 Westchester Ave
Ste 101
White Plains, NY 10604
Phone 9149461010324

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: lamenedo@hiemail.healtheconnections.org

Organizations & group practices 1

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": "1198454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1790969996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 MAIN ST.",
            "address_2": "OPEN DOOR FAMILY MEDICAL CENTER",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624702",
            "telephone_number": "914-941-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 BOWMAN AVE,",
            "address_2": "PORTCHESTER MIDDLE SCHOOL",
            "city": "PORTCHESTER",
            "state": "NY",
            "postal_code": "105732808",
            "telephone_number": "914-939-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMENEDO",
        "first_name": "LAUREN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-24",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "WARNER",
            "middle_name": "ANN",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Chester, NY

Sources for this page

Verify at the official NPI Registry.