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LAUREN MICHELLE EDGAR APRN-BC
NPI 1114551454
Nurse Practitioner - Family in Marietta, OH

Active since February 25, 2020PECOS EnrolledAccepts Medicare Assignment
54.77/100
CMS Quality Rating
400 MATTHEW ST, MARIETTA, OH 45750(740) 373-4111(740) 373-4860 Get Directions Write a Review

NPPES record last updated: March 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 30, 2023, Apr 18, 2022, Jul 16, 2021 and 2 more (5 updates tracked since 2020).

About Lauren Michelle Edgar Aprn-bc NPPES

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

LAUREN MICHELLE EDGAR APRN-BC (NPI 1114551454) is an individual family provider in Marietta, Ohio, licensed in West Virginia (105690) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Marietta Memorial Hospital, and maintains a secondary practice location in Belpre.

NPPES Registry Identity

NPI1114551454
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN MICHELLE EDGARCredential: APRN-BC
Location Address400 MATTHEW STMarietta, OH 45750-1644
Mailing Address1013 Garfield AveParkersburg, WV 26101-3290 · (304) 424-4574
Phone(740) 373-4111
Fax(740) 373-4860
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 25, 2020
Last NPPES UpdateMarch 30, 20235 updates tracked since enumeration
NPPES CertifiedMarch 30, 2023
✔ NPI 1114551454 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 WV · 105690
400 MATTHEW ST, Marietta, OH 45750
Open in Google Maps ↗

Secondary Practice Location 1

Location 1807 Farson St Ste 202Belpre, OH 45714-1069 · Phone (740) 423-3222 · Fax (740) 401-0435

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Michelle Edgar Aprn-bc 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 ID1153750336
PECOS Enrollment IDI20230215000634
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
48 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services26 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
20 services20 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Marietta Memorial Hospital

Acute Care Hospitals · Marietta, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360147
Location401 Matthew StreetMarietta, OH 45750 · Washington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45750 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

54.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality6.55
Promoting Interoperability100
Improvement Activities20
Cost67.71

Other Providers at the Same Location NPPES 20

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

JAMES A MCELROY MD FACS
Surgery
400 MATTHEW ST, STE 401
MARIETTA, OH 45750
Washington County (740) 374-2252
ALYSE SHAPAKA PA
Physician Assistant
400 MATTHEW ST, SUITE 200
MARIETTA, OH 45750
Washington County (740) 434-0565
CHARLES LEWIS LEVY MD
Neurological Surgery
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Washington County (740) 374-2252
ROBERT A MCKINLEY M.D., F.C.C.P.
Internal Medicine (Pulmonary Disease)
400 MATTHEW ST, SUITE 305
MARIETTA, OH 45750
Washington County (740) 568-5662
JENNIFER E GODWIN MD
Obstetrics & Gynecology
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 373-4111
JONATHAN ROBERT ROYLANCE MD
Internal Medicine
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 376-1994
KRISTEVA JO KNAB PA-C
Physician Assistant
400 MATTHEW ST, SUITE 401
MARIETTA, OH 45750
Washington County (740) 374-2252
VIVEK V ABHYANKAR MD
Internal Medicine (Hematology & Oncology)
400 MATTHEW ST
MARIETTA, OH 45750
Washington County (740) 376-5000

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 Edgar's NPI number?

The NPI number for Lauren Edgar is 1114551454. It was assigned to this individual provider in the NPPES registry on February 25, 2020.

Where is Lauren Edgar located?

Lauren Edgar practices at 400 Matthew St, Marietta, OH 45750. The listed phone number is (740) 373-4111.

What is Lauren Edgar's specialty?

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

Is Lauren Edgar enrolled in Medicare?

Yes. Lauren Edgar 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.

What insurance does Lauren Edgar accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and MedMutual list Lauren Edgar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lauren Edgar affiliated with any hospitals?

According to CMS data, Lauren Edgar is affiliated with Marietta Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Edgar was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.