Individual provider Active NPI

Lauren A Ayuso, PA-C

  • Medical Physician Assistant
  • Edina, MN
National Provider Identifier
1992057467
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA 9106831 Issued in FL
Practice address
6401 France Ave S
Edina, MN 55435-2104
Phone
(952) 924-5000
NPI assigned
Oct 9, 2012
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA 9106831 FL Primary

Addresses

Primary practice location

6401 France Ave S
Edina, MN 55435-2104

Mailing address

1605 W Fairbanks Ave
Winter Park, FL 32789-4603
Phone (407) 975-0200

Other practice location 1

1605 W Fairbanks Ave
Winter Park, FL 32789-4603
Phone (407) 975-0200

Other names 1

  • Lauren A Sackett Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121205000179 FL Practitioner - Physician Assistant 0143472712 Reassigns benefits to 2 organizations
I20201029001180 MN Practitioner - Physician Assistant 0143472712 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fairview Express CareGroup PAC ID 3375645179, 1,946 clinicians
Fairview Specialty ServicesGroup PAC ID 3072083286, 303 clinicians

Practice addresses (Care Compare)

1575 Beam Ave
Maplewood, MN 55109-1126
Phone (763) 525-1746

1700 University Ave W
Saint Paul, MN 55104-3727

1747 Beam Ave
Suite 100
Maplewood, MN 55109-1128
Phone (651) 326-5569

1825 Woodwinds Dr
Woodbury, MN 55125-2202
Phone (651) 232-6700

1875 Woodwinds Dr
Woodbury, MN 55125-2298
Phone (651) 232-6800

45 10TH St W
Saint Paul, MN 55102-1062

717 Delaware St SE
Suite 340
Minneapolis, MN 55414-2959
Phone (612) 672-7422

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.63 of 100Reported as group
Quality
75.41
Promoting interoperability
100
Improvement activities
40
Cost
75.75

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as group
Quality
89.73
Promoting interoperability
100
Improvement activities
40
Cost
80.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA 9106831FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fairbanks Partners LLC CurrentSince Sep 1, 2015 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2020 Accepting new patients
Fairview Clinics CurrentSince Dec 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 8, 2018 Accepting new patients
Fairview Clinics CurrentSince Dec 1, 2020 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Oct 8, 2018 Accepting new patients
Fairview Health Services CurrentSince Dec 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 1, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 5, 2020 Accepting new patients
Fairview Express Care CurrentSince Oct 5, 2020 Accepting new patients
Fairview Health Services Past Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
German Montoya, M.D.PA Past Accepting new patients

Locations

400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

587 E State Road 434
Longwood, FL 32750
Phone (407) 896-1100

265 E Rollins St
Ste 12000
Orlando, FL 32804

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

89 W Copeland Dr
Orlando, FL 32806
Phone (407) 237-6333

1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

6545 France Ave S
Ste 450
Edina, MN 55435
Phone (612) 626-6688

1747 Beam Ave
Ste 100
Maplewood, MN 55109
Phone (651) 221-9051

400 Stinson Blvd
Minneapolis, MN 55413
Phone (612) 672-2258

6401 France Ave S
Minneapolis, MN 55435
Phone (952) 920-8477

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: layuso600509@fairview.direct-ci.com

Organizations & group practices 21

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.

View all 21

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": "1349740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1992057467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 W FAIRBANKS AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894603",
            "telephone_number": "407-975-0200",
            "fax_number": "407-975-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 FRANCE AVE S",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352104",
            "telephone_number": "952-924-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 W Fairbanks Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327894603",
            "country_code": "US",
            "telephone_number": "407-975-0200",
            "fax_number": "407-975-0209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYUSO",
        "first_name": "LAUREN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-09",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9106831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "SACKETT",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.