Individual provider Active NPI

Lauryn Grace Macfawn, CRNA

  • Certified Registered Nurse Anesthetist
  • Wexford, PA
National Provider Identifier
1891427118
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN770389 Issued in PA
Practice address
12351 Perry Hwy
Wexford, PA 15090-8344
Phone
(412) 359-6581
Fax
(412) 359-3483
NPI assigned
Jun 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN770389 PA Primary

Addresses

Primary practice location

12351 Perry Hwy
Wexford, PA 15090-8344

Mailing address

401 Amberson Ave Apt 137
Pittsburgh, PA 15232-1456
Phone (240) 362-3254

Other practice location 1

200 Lothrop St
Pittsburgh, PA 15213-2536
Phone (240) 362-3254

Other names 1

  • Lauryn Grace Ruckert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230620000059 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6608234919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Sep 18, 2024 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 31, 2023 Accepting new patients
University of Pittsburgh Physicians CurrentSince Jul 31, 2023 Accepting new patients
Allegheny Clinic CurrentSince Sep 18, 2024 Accepting new patients

Locations

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

815 Freeport Rd
Pittsburgh, PA 15215
Phone (412) 784-4000

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

12351 Perry Hwy
Wexford, PA 15090
Phone (412) 359-3030

Organizations & group practices 6

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": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1891427118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 AMBERSON AVE APT 137",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321456",
            "telephone_number": "240-362-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12351 PERRY HWY",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150908344",
            "telephone_number": "412-359-6581",
            "fax_number": "412-359-3483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop St",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152132536",
            "country_code": "US",
            "telephone_number": "240-362-3254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACFAWN",
        "first_name": "LAURYN",
        "middle_name": "GRACE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-27",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN770389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURYN",
            "last_name": "RUCKERT",
            "middle_name": "GRACE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wexford, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.