LAUREN DALLAS
NPI 1205215480
Student in an Organized Health Care Education/Training Program in Lebanon, OR
About Lauren Dallas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAUREN DALLAS (NPI 1205215480) is an individual student in an organized health care education/training program in Lebanon, Oregon and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lebanon, and is a graduate of Pacific Nw Un Of Hs, Col Of Osteopathic Medicine (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Dallas 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.
Medicare Billing Reassignment
Medicare enrollment records show Lauren Dallas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Salem, OR 97317
- Reassigned Medicare billing, Oregon enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 3,207 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.
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.
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.
LEBANON, OR 97355
LEBANON, OR 97355
LEBANON, OR 97355
LEBANON, OR 97355
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 Dallas's NPI number?
The NPI number for Lauren Dallas is 1205215480. It was assigned to this individual provider in the NPPES registry on May 21, 2015.
Where is Lauren Dallas located?
Lauren Dallas practices at 200 Mullins Dr, Lebanon, OR 97355. The listed phone number is (815) 353-6886.
What is Lauren Dallas's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Lauren Dallas enrolled in Medicare?
Yes. Lauren Dallas 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 organization bills Medicare for Lauren Dallas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Dallas reassigns Medicare benefits to South Salem Rehabilitation, LLC (Salem, OR). The 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 Dallas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lauren Dallas accept?
Health plans from Kaiser Permanente list Lauren Dallas 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 Dallas was last updated on May 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Lauren Dallas · NPI 1205215480
Student in an Organized Health Care Education/Training Program provider in Lebanon, Oregon. Individual provider, active in the CMS NPPES registry since May 21, 2015.
## Identity
- **NPI:** 1205215480 (Entity type: Individual)
- **Enumerated:** May 21, 2015
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 200 MULLINS DR, Lebanon, OR 97355-3983
- **Phone:** (815) 353-6886
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Salem Rehabilitation, LLC (NPI 1215071998, Salem, OR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Pacific Nw Un Of Hs, Col Of Osteopathic Medicine, class of 2017
## Record status
- **NPPES last updated:** May 21, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1205215480) · Data from the CMS NPPES public registry.