Individual provider Active NPI

Lauren Nami Crouse, MD

  • Dermatology Physician
  • Raleigh, NC
National Provider Identifier
1831693894
Registry record updated Jun 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2022-01020 Issued in NC
Practice address
5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688
Phone
(919) 791-0840
Fax
(919) 791-0911
NPI assigned
Mar 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC
Dermatology Physician 207N00000X 2022-01020 NC Primary

Addresses

Primary practice location

5603 Duraleigh Rd Ste 111
Raleigh, NC 27612-2688

Mailing address

PO Box 18563
Raleigh, NC 27619-8563
Phone (919) 859-5955

Other practice location 1

860 Perry Rd
Apex, NC 27502-7701
Phone (919) 791-0840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220812000279 NC Practitioner - Dermatology 8527316231 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Brody School of Medicine at East Carolina University, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

2406 Blue Ridge Rd
Suite 220
Raleigh, NC 27607-6692
Phone (919) 791-0840

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision23
Removal of skin lesions269
Skin biopsy102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Aug 15, 2022 Accepting new patients
Flynn Dermatology PA CurrentSince May 12, 2003 Accepting new patients
University of North Carolina at Chapel Hill Dermatology Past Accepting new patients

Locations

860 Perry Rd
Apex, NC 27502
Phone (919) 267-2222

1505 SW Cary Pkwy
Ste 304
Cary, NC 27511
Phone (919) 463-9443

2406 Blue Ridge Rd
Ste 220
Raleigh, NC 27607
Phone (919) 791-0840

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

5603 Duraleigh Rd
Ste 111
Raleigh, NC 27612
Phone (919) 791-0840

Interoperability endpoints

  • Direct secure messaging: lcrouse56@familydermatology.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1831693894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18563",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276198563",
            "telephone_number": "919-859-5955",
            "fax_number": "919-859-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5603 DURALEIGH RD STE 111",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276122688",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "860 Perry Rd",
            "address_purpose": "LOCATION",
            "city": "Apex",
            "state": "NC",
            "postal_code": "275027701",
            "country_code": "US",
            "telephone_number": "919-791-0840",
            "fax_number": "919-791-0911",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CROUSE",
        "first_name": "LAUREN",
        "middle_name": "NAMI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-22",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2022-01020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.