Individual provider Active NPI

Lauren Hall Pollicino, PA-C

  • Physician Assistant
  • Rockville, MD
National Provider Identifier
1912987462
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C0002921 Issued in MD
Practice address
2401 Research Blvd
Suite 260
Rockville, MD 20850-3215
Phone
(301) 990-6565
Fax
(301) 990-8525
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C0002921 MD Primary

Addresses

Primary practice location

2401 Research Blvd
Suite 260
Rockville, MD 20850-3215

Mailing address

17305 Brown Rd
Poolesville, MD 20837-2014
Phone (301) 990-6565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240711000329 VA Practitioner - Physician Assistant 3870753122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Eastern Virginia Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richmond Dermatology SpecialistsGroup PAC ID 5890736060, 13 clinicians

Practice addresses (Care Compare)

9816 Mayland Dr
Richmond, VA 23233-1457
Phone (804) 286-4927

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
89.25
Improvement activities
40
Cost
44.39

Merit-based Incentive Payment System (MIPS)

Final score
83.97 of 100Reported as group
Quality
78.47
Promoting interoperability
83
Improvement activities
40
Cost
82.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lauren.pollicino@adcs1.emadirect.md

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.

NPI Registry JSON

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1912987462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17305 BROWN RD",
            "city": "POOLESVILLE",
            "state": "MD",
            "postal_code": "208372014",
            "telephone_number": "301-990-6565",
            "fax_number": "301-990-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 RESEARCH BLVD",
            "address_2": "SUITE 260",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208503215",
            "telephone_number": "301-990-6565",
            "fax_number": "301-990-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLICINO",
        "first_name": "LAUREN",
        "middle_name": "HALL",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C0002921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.