Individual provider Active NPI

Lauren Nicole McConeghy, P.A-C

  • Medical Physician Assistant
  • Orlando, FL
National Provider Identifier
1831486752
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
9105917 Issued in FL
Practice address
7335 W Sand Lake Rd
Suite 200
Orlando, FL 32819-5538
Phone
(407) 352-8553
Fax
(407) 351-8412
NPI assigned
Jun 29, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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 9105917 FL Primary

Addresses

Primary practice location

7335 W Sand Lake Rd
Suite 200
Orlando, FL 32819-5538

Mailing address

10246 Fallsgrove St
Orlando, FL 32836-7502
Phone (407) 352-8553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110725000636 FL Practitioner - Physician Assistant 9335317056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sand Lake Dermatology Center PAGroup PAC ID 6709853088, 9 clinicians

Practice addresses (Care Compare)

7335 W Sand Lake Rd
Suite 200
Orlando, FL 32819-5539
Phone (407) 352-8553

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

Final score
93.36 of 100Reported as individual
Quality
86.73
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9105917FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Florida Dermatology Associates P.a. Past Accepting new patients

Organizations & group practices 2

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 1

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1831486752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10246 FALLSGROVE ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328367502",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7335 W SAND LAKE RD",
            "address_2": "SUITE 200",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328195538",
            "telephone_number": "407-352-8553",
            "fax_number": "407-351-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONEGHY",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "credential": "P.A-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-29",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9105917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.