Individual provider Active NPI

Lauren Elizabeth Stephens, PA

  • Dermatology Physician
  • Lincoln, NE
National Provider Identifier
1932874963
Registry record updated May 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
2668 Issued in NE
Practice address
5533 S 27TH St Ste 103
Lincoln, NE 68512-1664
Phone
(402) 423-7000
Fax
(402) 423-9399
NPI assigned
Aug 11, 2021
Last updated
May 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Dermatology Physician 207N00000X 2668 NE Primary

Addresses

Primary practice location

5533 S 27TH St Ste 103
Lincoln, NE 68512-1664

Mailing address

5533 S 27TH St Ste 103
Lincoln, NE 68512-1664
Phone (402) 423-7000

Other identifiers 1

IdentifierTypeStateIssuer
10026906600MedicaidNE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address llargen@nebraskaderm.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20210915002475 NE Practitioner - Physician Assistant 1254737331 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nebraska Dermatology, LLCGroup PAC ID 0941379382, 2 clinicians

Practice addresses (Care Compare)

5533 S 27TH St
Lincoln, NE 68512-1664
Phone (402) 423-7000

Merit-based Incentive Payment System (MIPS)

Final score
98.93 of 100Reported as group
Quality
98.06
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2668NEMDDermatology Physician
1109NEMDMedical Physician Assistant

Interoperability endpoints

  • Direct secure messaging: llargen@nebraskaderm.emadirect.md

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1628640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683676800000",
    "number": "1932874963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5533 S 27TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121664",
            "telephone_number": "402-423-7000",
            "fax_number": "402-423-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 S 27TH ST STE 103",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685121664",
            "telephone_number": "402-423-7000",
            "fax_number": "402-423-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "LAUREN",
        "middle_name": "ELIZABETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-11",
        "last_updated": "2023-05-10",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "2668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026906600",
            "state": "NE"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "llargen@nebraskaderm.emadirect.md",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5533 S 27th St Ste 103",
            "city": "Lincoln",
            "state": "NE",
            "country_code": "US",
            "postal_code": "685121664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

Verify at the official NPI Registry.