1. Home
  2. Directory
  3. Massachusetts
  4. Boston
  5. Pediatrics
  6. NPI Profile

LAWREN WELLISCH M.D.
NPI 1174885792
Pediatrics - Pediatric Critical Care Medicine in Boston, MA

Active since June 10, 2012PECOS Enrolled
300 LONGWOOD AVE, BOSTON, MA 02115(617) 355-6000 Get Directions Write a Review

NPPES record last updated: June 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 26, 2024, Apr 28, 2021 (2 updates tracked since 2021).

About Lawren Wellisch M.d. NPPES

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

LAWREN WELLISCH M.D. (NPI 1174885792) is an individual pediatric critical care medicine provider in Boston, Massachusetts, licensed in Rhode Island (MD18125) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174885792
Entity TypeIndividualFemale
Primary Taxonomy2080P0203X
Provider Legal NameLAWREN WELLISCHCredential: M.D.
Location Address300 LONGWOOD AVEBoston, MA 02115-5724
Mailing Address117 Ellenfield St Ste 101Providence, RI 02905-4541 · (401) 444-6779
Phone(617) 355-6000
Sole ProprietorYes
Enumeration DateJune 10, 2012
Last NPPES UpdateJune 26, 20242 updates tracked since enumeration
NPPES CertifiedJune 26, 2024
✔ NPI 1174885792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in RI · MD18125
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 125061456 (IL), 276856 (MA)
300 LONGWOOD AVE, Boston, MA 02115
Open in Google Maps ↗

Secondary Practice Locations 2

Location 15721 S Maryland Ave, rm, K155, MC8016Chicago, IL 60637-1425 · Phone (773) 702-6435
Location 2593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-8351

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawren Wellisch M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Lawren Wellisch reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Pediatric Associates, Inc
Same address
Pediatrics
300 LONGWOOD AVE
Boston, MA 02115
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,358 clinicians in this Medicare group
NPI 1457306664 (617) 355-6000
Rhode Island Hospital
40 mi
Pediatrics
593 EDDY ST
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 265 clinicians in this Medicare group
NPI 1861420333 (401) 444-6195
Lurie Children's Medical Group Inc
848 mi
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

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

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Lawren Wellisch's NPI number?

The NPI number for Lawren Wellisch is 1174885792. It was assigned to this individual provider in the NPPES registry on June 10, 2012.

Where is Lawren Wellisch located?

Lawren Wellisch practices at 300 Longwood Ave, Boston, MA 02115. The listed phone number is (617) 355-6000.

What is Lawren Wellisch's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Lawren Wellisch enrolled in Medicare?

Yes. Lawren Wellisch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lawren Wellisch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lawren Wellisch reassigns Medicare benefits to 3 organizations: Children's Hospital Pediatric Associates, Inc (Boston, MA), Rhode Island Hospital (Providence, RI) and Lurie Children's Medical Group Inc (Chicago, IL). 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 Lawren Wellisch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lawren Wellisch accept?

Health plans from Taro Health list Lawren Wellisch 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 Lawren Wellisch was last updated on June 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.