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LAUREN ALANA GILLINGHAM
NPI 1063287779
Nurse Practitioner - Psychiatric/Mental Health in Derby, CT

Active since November 22, 2023PECOS EnrolledAccepts Medicare Assignment
248 SEYMOUR AVE, DERBY, CT 06418(203) 732-7550(203) 732-1550 Get Directions Write a Review

NPPES record last updated: July 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lauren Alana Gillingham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN ALANA GILLINGHAM (NPI 1063287779) is an individual psychiatric/mental health provider in Derby, Connecticut, licensed in Connecticut (12.015007) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063287779
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN ALANA GILLINGHAM
Location Address248 SEYMOUR AVEDerby, CT 06418-1332
Mailing Address248 Seymour AveDerby, CT 06418-1332 · (203) 732-7550
Phone(203) 732-7550
Fax(203) 732-1550
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 22, 2023
Last NPPES UpdateJuly 14, 2025
NPPES CertifiedJuly 14, 2025
✔ NPI 1063287779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CT · 12.015007
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 129031 (CT)
248 SEYMOUR AVE, Derby, CT 06418
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Alana Gillingham is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2961906565
PECOS Enrollment IDI20250917002308
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Gillingham reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Griffin Hospital
0.1 mi
General Acute Care Hospital
130 DIVISION ST
Derby, CT 06418
  • Reassigned Medicare billing, Connecticut enrollment
  • 77 clinicians in this Medicare group
NPI 1184639973 (203) 732-7360

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06418 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren Gillingham's NPI number?

The NPI number for Lauren Gillingham is 1063287779. It was assigned to this individual provider in the NPPES registry on November 22, 2023.

Where is Lauren Gillingham located?

Lauren Gillingham practices at 248 Seymour Ave, Derby, CT 06418. The listed phone number is (203) 732-7550.

What is Lauren Gillingham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Gillingham enrolled in Medicare?

Yes. Lauren Gillingham is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Lauren Gillingham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Gillingham reassigns Medicare benefits to The Griffin Hospital (Derby, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lauren Gillingham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lauren Gillingham was last updated on July 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.