Lauren Veronica Boggs
Individual provider Active NPI Medical Physician Assistant · New Haven, CT
NPI 1902334436 · NPPES record last updated May 29, 2017
Key facts
- NPI
- 1902334436
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 45 Ley St
New Haven, CT 06512-3921 - Phone
- (203) 464-0632
- NPI assigned
- May 29, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northeast Medical Group Inc
Practice addresses (Care Compare)
267 Grant St
Bridgeport, CT 06610-2805
Phone (203) 384-3000
95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388
Hospital & facility affiliations
- Bridgeport Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 86.54
- Promoting interoperability
- 99.98
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170913000828 | CT | Practitioner - Physician Assistant | 8820361843 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Medical Group, Inc. | Current |
Accepting new patients | |
| Mill Hill Medical Consultants Inc | Current |
Accepting new patients | |
| Heart Specialists PC of Southern Connecticut | Past | Accepting new patients |
Locations
267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170
2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366
4 Corporate Dr
Ste 100
Shelton, CT 06484
Phone (203) 384-8960
95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388
112 Quarry Rd
Ste 400
Trumbull, CT 06611
Phone (203) 333-8800
Interoperability endpoints
- lboggs334435@direct.ynhh.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
45 Ley St
New Haven, CT 06512-3921
Mailing address
45 Ley St
New Haven, CT 06512-3921
Other providers in New Haven, CT
- Jonathan Stephen Bogan
- Jennifer Murphy Bogardus
- Sidney T Bogardus Jr.
- Eliyahu Bogart
- Ian Bogdanowicz
- Jessica Leigh Bogucki
- Mary S Bogucki
- Clifford W Bogue
- Jesse Bohrer-Clancy
- Daniel Boiarsky
All providers in New Haven, CT · Medical Physician Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.