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LAUREN ANN BALTRUCKI APRN
NPI 1194168476
Nurse Practitioner - Family in Brighton, MA

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
85.07/100
CMS Quality Rating
11 NEVINS ST STE 406, BRIGHTON, MA 02135(617) 562-5432(617) 789-5049 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2025, Nov 12, 2019 (2 updates tracked since 2019).

About Lauren Ann Baltrucki Aprn NPPES

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

LAUREN ANN BALTRUCKI APRN (NPI 1194168476) is an individual family provider in Brighton, Massachusetts, licensed in Massachusetts (RN2390193) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth's Medical Center, and is a graduate of University Of Connecticut School Of Medicine (2008).

NPPES Registry Identity

NPI1194168476
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN ANN BALTRUCKICredential: APRN
Location Address11 NEVINS ST STE 406Brighton, MA 02135-3514
Mailing Address960 Massachusetts Ave Ste 2Boston, MA 02118-2690 · (617) 414-5405
Phone(617) 562-5432
Fax(617) 789-5049
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2008
Enumeration DateApril 17, 2013
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1194168476 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 MA · RN2390193
11 NEVINS ST STE 406, Brighton, MA 02135
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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 Ann Baltrucki Aprn 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 ID5890935845
PECOS Enrollment IDI20240131000634
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 4

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 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
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.
26 services26 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth's Medical Center

Acute Care Hospitals · Brighton, MA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number220036
Location736 Cambridge StreetBrighton, MA 02135 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02135 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

85.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.7
Promoting Interoperability83
Improvement Activities40
Cost68.33

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
95%1,646 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
32%108 patients2/55-star benchmark: 96%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
93%299 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%930 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
24%930 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%930 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

ZHUO ZOE GENG M.D.
Internal Medicine (Gastroenterology)
11 NEVINS ST STE 406
BRIGHTON, MA 02135
Suffolk County (617) 562-5432

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 Baltrucki's NPI number?

The NPI number for Lauren Baltrucki is 1194168476. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Lauren Baltrucki located?

Lauren Baltrucki practices at 11 Nevins St Ste 406, Brighton, MA 02135. The listed phone number is (617) 562-5432.

What is Lauren Baltrucki's specialty?

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

Is Lauren Baltrucki enrolled in Medicare?

Yes. Lauren Baltrucki 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 Baltrucki accept?

Health plans from Anthem Blue Cross and Blue Shield list Lauren Baltrucki 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 Baltrucki affiliated with any hospitals?

According to CMS data, Lauren Baltrucki is affiliated with St Elizabeth's Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Baltrucki was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.