LAUREN TOMAC
NPI 1124747142
Nurse Practitioner - Primary Care in Kansas City, MO

Active since August 23, 2022PECOS EnrolledAccepts Medicare Assignment
25 E 113TH TER, KANSAS CITY, MO 64114(636) 487-1078 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 7, 2025, Mar 6, 2023, Aug 23, 2022 (3 updates tracked since 2022).

About Lauren Tomac NPPES

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

LAUREN TOMAC (NPI 1124747142) is an individual primary care provider in Kansas City, Missouri, licensed in Missouri (2022039659) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital Of Kansas City, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124747142
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameLAUREN TOMAC
Location Address25 E 113TH TERKansas City, MO 64114-5447
Mailing Address901 E 104th StKansas City, MO 64131-4517
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 23, 2022
Last NPPES UpdateApril 7, 20253 updates tracked since enumeration
NPPES CertifiedApril 7, 2025
✔ NPI 1124747142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in MO · 2022039659✔ Licensed in KS · 53-81719-051
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 2018021440 (MO)
25 E 113TH TER, Kansas City, MO 64114

Accepted Insurance

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 Tomac 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 ID8729452917
PECOS Enrollment IDI20230330001901, I20230331000291
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 Reassignments

2

Medicare enrollment records show Lauren Tomac reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
901 E 104TH ST, MS 400N
Kansas City, MO 64131
  • Reassigned Medicare billing, Kansas and Missouri enrollments
  • Medicare enrollment name: Saint Lukes Physician Group Inc
  • 845 clinicians in this Medicare group
Urgent Care
15604 PINEHURST DR STE 3A
Basehor, KS 66007
  • Reassigned Medicare billing, Kansas enrollment
  • 9 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 6

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.
96 services85 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
42 services42 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.
18 services18 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
16 services16 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64114 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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 Tomac's NPI number?

The NPI number for Lauren Tomac is 1124747142. It was assigned to this individual provider in the NPPES registry on August 23, 2022.

Where is Lauren Tomac located?

Lauren Tomac practices at 25 E 113th Ter, Kansas City, MO 64114. The listed phone number is (636) 487-1078.

What is Lauren Tomac's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Lauren Tomac enrolled in Medicare?

Yes. Lauren Tomac 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 organizations bill Medicare for Lauren Tomac's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Tomac reassigns Medicare benefits to 2 organizations: Saint Luke's Physician Group Inc (Kansas City, MO) and Max-Well Urgent Care LLC (Basehor, KS). Each 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 Tomac's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Tomac accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan, Ambetter of Oklahoma and Blue Cross and Blue Shield of Kansas City and 1 other insurer list Lauren Tomac 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 Tomac affiliated with any hospitals?

According to CMS data, Lauren Tomac is affiliated with St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Lauren Tomac was last updated on April 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.