Active NPI
Lauren S Aycock, FNP
- Family Nurse Practitioner
- Laurel, MS
National Provider Identifier
1821362385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- R881219
- Practice address
- 1410 Jefferson St
Laurel, MS 39440-4243 - Phone
- (601) 425-7522
- Fax
- (601) 425-7524
- NPI assigned
- Mar 1, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | R881219 | MS | Primary |
| Registered Nurse | 163W00000X | R881219 | MS |
Addresses
Primary practice location
1410 Jefferson St
Laurel, MS 39440-4243
Mailing address
PO Box 247
Laurel, MS 39441-0247
Phone (601) 425-7550
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03101303 | Medicaid | MS |
Other names 1
- Ms. Lauren Renee Sims
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
102 E Hospital Dr
Hattiesburg, MS 39402-1310
Phone (601) 475-9968
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.05 of 100
- Quality
- 81.89
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R881219 | MS | MD | Registered Nurse |
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 and National Provider Directory roles.
-
- MOHS-Micrographic Surgery Physician
- Petal, MS
- NPI 1194124834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330560000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435536000000",
"number": "1821362385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 247",
"city": "LAUREL",
"state": "MS",
"postal_code": "394410247",
"telephone_number": "601-425-7550",
"fax_number": "601-399-6281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 JEFFERSON ST",
"city": "LAUREL",
"state": "MS",
"postal_code": "394404243",
"telephone_number": "601-425-7522",
"fax_number": "601-425-7524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYCOCK",
"first_name": "LAUREN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-01",
"last_updated": "2015-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MS",
"license": "R881219",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MS",
"license": "R881219",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03101303",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "SIMS",
"middle_name": "RENEE",
"prefix": "MS.",
"credential": "FNP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Laurel, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.