Individual provider Active NPI

Lauren Danielle Lance, APRN

  • Primary Care Nurse Practitioner
  • Paragould, AR
National Provider Identifier
1982228995
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
212492 Issued in AR
Practice address
1507 Linwood Dr
Paragould, AR 72450-5818
Phone
(870) 239-8102
NPI assigned
Jun 4, 2020
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R105246 AR
Primary Care Nurse Practitioner 363LP2300X 212492 AR Primary

Addresses

Primary practice location

1507 Linwood Dr
Paragould, AR 72450-5818

Mailing address

6217 Merrell Dr
Jonesboro, AR 72404-7681
Phone (870) 930-8117

Other practice location 1

4800 E Johnson Ave
Jonesboro, AR 72405-8413
Phone (970) 936-8000

Other names 1

  • Miss Lauren Poag Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200812000178 AR Practitioner - Nurse Practitioner 3870727381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Five Rivers Medical Center IncGroup PAC ID 1456540194, 37 clinicians

Practice addresses (Care Compare)

2801 Medical Ctr Dr
Pocahontas, AR 72455

2801 Medical Ctr Dr
Pocahontas, AR 72455-9436
Phone (870) 892-6204

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R105246ARMDRegistered Nurse
212492ARMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Five Rivers Medical Center Inc. CurrentSince Aug 30, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 1, 2021 Accepting new patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Jan 1, 2023 Accepting new patients
Five Rivers Medical Center CurrentSince Aug 30, 2023 Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. CurrentSince May 1, 2021 Accepting new patients
Five Rivers Medical Center Inc Current Accepting new patients
Northeast Arkansas Clinic Charitable Foundation, Inc. Past Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 336-0472

1111 Windover Rd
Jonesboro, AR 72401
Phone (870) 935-5432

4800 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 732-2100

4901 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 932-8222

2801 Medical Center Dr
Pocahontas, AR 72455
Phone (870) 892-6000

Interoperability endpoints

  • Direct secure messaging: ldlance2@sbpc.medalliesdirect.net
  • Direct secure messaging: llance@frmc.medalliesdirect.net

Organizations & group practices 9

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1982228995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6217 MERRELL DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047681",
            "telephone_number": "870-930-8117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724505818",
            "telephone_number": "870-239-8102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4800 E Johnson Ave",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "AR",
            "postal_code": "724058413",
            "country_code": "US",
            "telephone_number": "970-936-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANCE",
        "first_name": "LAUREN",
        "middle_name": "DANIELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-04",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AR",
            "license": "R105246",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "AR",
            "license": "212492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "POAG",
            "prefix": "MISS",
            "credential": "RN, NMTCB, ARRT(R)",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Paragould, AR

Sources for this page

Verify at the official NPI Registry.