Active NPI
Lauren Nicole Bachman, DNP, AGNP-BC
- Nurse Practitioner
- Surprise, AZ
National Provider Identifier
1821576174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP11390
- Practice address
- 16952 W Bell Rd Ste E-304
Surprise, AZ 85374-8951 - Phone
- (507) 251-6749
- NPI assigned
- Jul 30, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP11390 | AZ | Primary |
Addresses
Primary practice location
16952 W Bell Rd Ste E-304
Surprise, AZ 85374-8951
Mailing address
2516 W Laredo LN
Phoenix, AZ 85085-6002
Phone (507) 251-6749
Other practice location 1
5410 N Scottsdale Rd Ste D100
Paradise Valley, AZ 85253-5937
Phone (602) 892-4727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP11390 | Other | STATE LICENSE |
Other names 1
- Dr. Lauren Nicole Ruegg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220303002535 | AZ | Order and Referring Only - Nurse Practitioner | 9032503297 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- lauren.bachman@523775437635588.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624924800000",
"number": "1821576174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 W LAREDO LN",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850856002",
"telephone_number": "507-251-6749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16952 W BELL RD STE E-304",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853748951",
"telephone_number": "507-251-6749"
}
],
"practiceLocations": [
{
"address_1": "5410 N Scottsdale Rd Ste D100",
"address_purpose": "LOCATION",
"city": "Paradise Valley",
"state": "AZ",
"postal_code": "852535937",
"country_code": "US",
"telephone_number": "602-892-4727",
"fax_number": "602-900-9997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BACHMAN",
"first_name": "LAUREN",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DNP, AGNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-30",
"last_updated": "2021-06-29",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "AP11390",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "AP11390",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "RUEGG",
"middle_name": "NICOLE",
"prefix": "DR.",
"credential": "DNP, AGNP-BC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.