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DR. LAUREN H THEILEN MD
NPI 1174802250
Obstetrics & Gynecology - Maternal & Fetal Medicine in Salt Lake City, UT

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment
50 N MEDICAL DR STE 2185, SALT LAKE CITY, UT 84132(801) 581-8425 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 17, 2021, Jan 23, 2020, Jul 23, 2018 (3 updates tracked since 2018).

About Dr. Lauren H Theilen Md NPPES

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

DR. LAUREN H THEILEN MD (NPI 1174802250) is an individual maternal & fetal medicine provider in Salt Lake City, Utah, licensed in Utah (9373044-1205) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Rock Springs, and is a graduate of University Of Texas Medical School At San Antonio (2011).

NPPES Registry Identity

NPI1174802250
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. LAUREN H THEILENCredential: MD
Location Address50 N MEDICAL DR STE 2185Salt Lake City, UT 84132
Mailing Address30 N 1900 E Ste 2a200Salt Lake City, UT 84132-0002 · (801) 581-8425
Phone(801) 581-8425
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2011
Enumeration DateAugust 8, 2011
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
✔ NPI 1174802250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
Licenses✔ Licensed in UT · 9373044-1205✔ Licensed in WY · 11673A
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
50 N MEDICAL DR STE 2185, Salt Lake City, UT 84132
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Secondary Practice Location 1

Location 11180 College DrRock Springs, WY 82901-5863 · Phone (307) 212-7525

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Moda Health Plan, Inc. and more.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

Dr. Lauren H Theilen Md 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 ID6507095270
PECOS Enrollment IDI20150729008580
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

7

Medicare enrollment records show Lauren Theilen reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Utah Adult Services
Same address
Otolaryngology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 2,620 clinicians in this Medicare group
NPI 1003210808 (801) 587-6336
University Of Utah Specialty Services
Same address
Obstetrics & Gynecology
50 N MEDICAL DR
Salt Lake City, UT 84132
  • Reassigned Medicare billing, Utah enrollment
  • 163 clinicians in this Medicare group
NPI 1053715110 (801) 581-2121
Ihc Health Services Inc
0.1 mi
Neonatal-Perinatal Medicine
100 N MARIO CAPECCHI DR
Salt Lake City, UT 84113
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1497473375 (801) 442-5000
Catholic Health Initiatives Colorado
1.1 mi
Geriatric Psychiatry
1050 E SOUTH TEMPLE FL 2
Salt Lake City, UT 84102
  • Reassigned Medicare billing, Utah enrollment
  • 136 clinicians in this Medicare group
NPI 1023711900 (801) 350-4715
Bmh Inc.
147 mi
Multi-Specialty
1595 BANNOCK HWY
Pocatello, ID 83204
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1982805271 (Idaho)
  • 159 clinicians in this Medicare group
NPI 1548727571 (208) 239-6511
Memorial Hospital Of Sweetwater County
147 mi
Internal Medicine
1180 COLLEGE DRIVE
Rock Springs, WY 82901
  • Reassigned Medicare billing, Wyoming enrollment
  • Also billed through NPI 1558361949 (Wyoming)
  • 176 clinicians in this Medicare group
NPI 1437312436 (307) 352-8125
Teton County Hospital District
194 mi
General Practice
BOX 428 625 E BROADWAY AVE
Jackson, WY 83001
  • Reassigned Medicare billing, Wyoming enrollment
  • 114 clinicians in this Medicare group
NPI 1457665333 (307) 733-3636

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 84132 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
$125.70 typical visit price
range $54.34 – $166.03
Typical copayment $31.42 (range $13.58 – $41.50)
Most-billed visit code 99204
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
Most-billed visit code 99213
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 Theilen's NPI number?

The NPI number for Lauren Theilen is 1174802250. It was assigned to this individual provider in the NPPES registry on August 8, 2011.

Where is Lauren Theilen located?

Lauren Theilen practices at 50 N Medical Dr Ste 2185, Salt Lake City, UT 84132. The listed phone number is (801) 581-8425.

What is Lauren Theilen's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Lauren Theilen enrolled in Medicare?

Yes. Lauren Theilen 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 Theilen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Theilen reassigns Medicare benefits to 7 organizations: University Of Utah Adult Services (Salt Lake City, UT), University Of Utah Specialty Services (Salt Lake City, UT), Ihc Health Services Inc (Salt Lake City, UT), Catholic Health Initiatives Colorado (Salt Lake City, UT), Bmh Inc. (Pocatello, ID) and 2 more organizations, listed in the Medicare section above. 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 Theilen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Theilen accept?

Health plans from Blue Cross Blue Shield of Wyoming, BridgeSpan Health Company, Moda Health Plan, Inc., Molina Healthcare and PacificSource Health Plans and 4 other insurers list Lauren Theilen 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.

When was this NPI record last updated?

The NPPES record for Lauren Theilen was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.