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LAUREN JELLISON NP
NPI 1073247367
Nurse Practitioner - Family in Hermon, ME

Active since July 12, 2022Opted out of Medicare · through Apr 30, 2028
98.44/100
CMS Quality Rating
2423 ROUTE 2, HERMON, ME 04401(207) 742-2839(207) 835-4058 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 7, 2026, Dec 2, 2024, Jul 12, 2022 (3 updates tracked since 2022).

About Lauren Jellison Np NPPES

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

LAUREN JELLISON NP (NPI 1073247367) is an individual family provider in Hermon, Maine, licensed in Maine (CNP221225) and active in the NPI registry since July 2022. She has opted out of Medicare through April 30, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073247367
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN JELLISONCredential: NP
Location Address2423 ROUTE 2Hermon, ME 04401-0609
Mailing Address2423 Route 2Hermon, ME 04401-0609 · (207) 742-2839 · Fax (207) 835-4058
Phone(207) 742-2839
Fax(207) 835-4058
Sole ProprietorNo
Enumeration DateJuly 12, 2022
Last NPPES UpdateJanuary 7, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1073247367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ME · CNP221225
2423 ROUTE 2, Hermon, ME 04401
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lauren Jellison Np has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2026 through April 30, 2028.

Opt-Out Effective DateApril 30, 2026
Opt-Out In Effect ThroughApril 30, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$82.58 typical visit price
range $53.26 – $162.77
Typical copayment $20.64 (range $13.31 – $40.69)
Most-billed visit code 99203
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LACEY HENDERSON
Registered Nurse
2423 ROUTE 2
HERMON, ME 04401
Penobscot County (207) 742-2839
LINDSAY J NORTON
Nurse Practitioner (Family)
2423 ROUTE 2
HERMON, ME 04401
Penobscot County (207) 742-2839

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 Jellison's NPI number?

The NPI number for Lauren Jellison is 1073247367. It was assigned to this individual provider in the NPPES registry on July 12, 2022.

Where is Lauren Jellison located?

Lauren Jellison practices at 2423 Route 2, Hermon, ME 04401. The listed phone number is (207) 742-2839.

What is Lauren Jellison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Jellison enrolled in Medicare?

No. Lauren Jellison has opted out of Medicare through April 30, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lauren Jellison was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.