Individual provider Active NPI

Lauren Churchey, FNP-C

  • Family Nurse Practitioner
  • Mason, OH
National Provider Identifier
1851752950
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARPN.CNP.18920 Issued in OH
Practice address
4834 Socialville Foster Rd Ste 20
Mason, OH 45040-6827
Phone
(513) 459-1988
Fax
(513) 459-1845
NPI assigned
Mar 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARPN.CNP.18920 OH Primary

Addresses

Primary practice location

4834 Socialville Foster Rd Ste 20
Mason, OH 45040-6827

Mailing address

4834 Socialville Foster Rd Ste 20
Mason, OH 45040-6827
Phone (513) 459-1988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160523001770 OH Practitioner - Nurse Practitioner 2860781317 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology of Ohio, IncGroup PAC ID 2567427776, 3 clinicians

Practice addresses (Care Compare)

4834 Socialville Foster Rd
Suite 20
Mason, OH 45040-6827
Phone (513) 459-1988

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARPN.CNP.18920OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology of Ohio, Inc CurrentSince Apr 1, 2016 Accepting new patients
Leavitt Medical Associates of Florida Inc Past Accepting new patients
Mason Dermatology Center Inc PastSince Jan 14, 2024 Accepting new patients

Locations

151 Southhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 917-7293

151 Southhall Ln
Maitland, FL 32751
Phone (321) 270-6083

4834 Socialville Foster Rd
Ste 20
Mason, OH 45040
Phone (513) 459-1988

4834 Socialville Foster Rd
#200
Mason, OH 45040

Interoperability endpoints

  • Direct secure messaging: lauren.churchey@adcs1.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.

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": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1851752950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 20",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406827",
            "telephone_number": "513-459-1988",
            "fax_number": "513-459-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4834 SOCIALVILLE FOSTER RD STE 20",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450406827",
            "telephone_number": "513-459-1988",
            "fax_number": "513-459-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHEY",
        "first_name": "LAUREN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "ARPN.CNP.18920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

Verify at the official NPI Registry.