Individual provider Active NPI

Lauren Ashley Beres, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1992091292
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054846 Issued in PA
Practice address
420 E North Ave Ste 206
Pittsburgh, PA 15212-4746
Phone
(412) 359-8850
Fax
(412) 359-8878
NPI assigned
Jun 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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 MA054846 PA Primary

Addresses

Primary practice location

420 E North Ave Ste 206
Pittsburgh, PA 15212-4746

Mailing address

420 E North Ave Ste 206
Pittsburgh, PA 15212-4746
Phone (412) 359-8850

Other identifiers 1

IdentifierTypeStateIssuer
13540423OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lberes214959@direct.ahn.org

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
I20130520000605 PA Practitioner - Physician Assistant 9032356621 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA054846PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Mar 6, 2018 Accepting new patients
Upmc Community Medicine, Inc. CurrentSince Mar 6, 2018 Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Dec 10, 2017 Accepting new patients

Locations

8000 Cranberry Springs Dr
Ste 1
Cranberry Twp, PA 16066

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

1600 Coraopolis Heights Rd
Ste G1
Moon Twp, PA 15108
Phone (412) 269-4114

1604 Burtner Rd
Ste 2100
Natrona Heights, PA 15065
Phone (724) 230-3099

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: lberes214959@direct.ahn.org
  • Direct secure messaging: lauren.a.beres@upmcdirect.com

Organizations & group practices 5

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": "1308873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1992091292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-8850",
            "fax_number": "412-359-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E NORTH AVE STE 206",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152124746",
            "telephone_number": "412-359-8850",
            "fax_number": "412-359-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERES",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-24",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13540423",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lberes214959@direct.ahn.org",
            "affiliation": "N",
            "address_1": "420 E North Ave Ste 206",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152124746",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.