Individual provider Active NPI

Lorileen C Bautista

  • Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1942536909
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
VP005422D Issued in PA
Practice address
5425 Lanark Rd Ste 300
Center Valley, PA 18034-8697
Phone
(484) 658-5437
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X VP005422D PA Primary

Addresses

Primary practice location

5425 Lanark Rd Ste 300
Center Valley, PA 18034-8697

Mailing address

5425 Lanark Rd Ste 300
Center Valley, PA 18034-8697
Phone (484) 658-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150925001101 PA Practitioner - Nurse Practitioner 5496063380 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
VP005422DPAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Aug 20, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 22, 2019 Accepting new patients
St. Luke'S Physician Group Inc. CurrentSince Aug 20, 2021 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 22, 2019 Accepting new patients
Shriners Hospitals for Children Nurse Practitioner Current Accepting new patients
Shriners Hospitals for Children Past Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients

Locations

3151 Walbert Ave
Ste 202
Allentown, PA 18104
Phone (484) 426-2468

5425 Lanark Rd
Ste 300
Center Valley, PA 18034
Phone (484) 523-7300

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

701 Ostrum St
Ste 102
Fountain Hill, PA 18015
Phone (484) 526-7575

142 Clemens Rd
Ste 200
Harleysville, PA 19438
Phone (267) 985-5000

3551 N Broad St
Philadelphia, PA 19140
Phone (215) 430-4000

Interoperability endpoints

  • Direct secure messaging: lorileen.bautista@slpg.direct-sluhn.org

Organizations & group practices 8

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1942536909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 300",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5425 LANARK RD STE 300",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348697",
            "telephone_number": "484-658-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "LORILEEN",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "VP005422D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.