Lauren McMullen, PA-C
Individual provider Active NPI Physician Assistant · Wichita, KS
NPI 1811205628 · NPPES record last updated May 13, 2016
Key facts
- NPI
- 1811205628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 15-01431 (KS)
- Practice address
- 2626 N Webb Rd
Wichita, KS 67226-8110 - Phone
- (316) 636-6100
- Fax
- (316) 636-5813
- NPI assigned
- Sep 15, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110119000134 | KS | Practitioner - Physician Assistant | 2163601451 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15-01431 | KS | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kansas Spine Anesthesia Corporation PA | Past | Accepting new patients | |
| Runway Emergency Physicians LLC | Past | Accepting new patients | |
| Augusta Family Practice, PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 15-01431 | KS | Yes |
Addresses
Primary practice location
2626 N Webb Rd
Wichita, KS 67226-8110
Mailing address
2626 N Webb Rd
Wichita, KS 67226-8110
Phone (316) 636-6100
Other names
- Lauren Streiff
Other providers in Wichita, KS
- Cynthia McMillin
- Lisa Kara McMillin
- Tyler McMillin
- Kimberly McMinn-Rogers
- Bruce Roger McMullen
- Karen McNally
- Kayla McNany
- Chyane McNeal
- Kristi R McNeal
- Adam McNeil
All providers in Wichita, KS · Physician Assistant in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.