LAUREN LEA GILMORE CNP
NPI 1205373552
Nurse Practitioner - Acute Care in Louisville, KY

Active since January 25, 2017PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
200 ABRAHAM FLEXNER WAY, LOUISVILLE, KY 40202(502) 587-4267 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 14, 2017, Jan 25, 2017 (2 updates tracked since 2017).

About Lauren Lea Gilmore Cnp NPPES

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

LAUREN LEA GILMORE CNP (NPI 1205373552) is an individual acute care provider in Louisville, Kentucky, licensed in Kentucky (3011264) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and maintains a secondary practice location in Cincinnati.

NPPES Registry Identity

NPI1205373552
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameLAUREN LEA GILMORECredential: CNP
Location Address200 ABRAHAM FLEXNER WAYLouisville, KY 40202-2877
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 587-4267 · Fax (513) 569-5297
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 25, 2017
Last NPPES UpdateJanuary 15, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
NPI 1205373552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in KY · 3011264 Licensed in OH · APRN.CNP.020385
Also ListedRegistered NurseTaxonomy 163W00000X · License 1112420 (KY), RN.364815 (OH)
Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN.CNP.020385 (OH)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 3011264 (KY), APRN.CNP.020385 (OH)
200 ABRAHAM FLEXNER WAY, Louisville, KY 40202

Secondary Practice Location 1

Location 13825 Edwards Rd, SUITE 300Cincinnati, OH 45209-1287 · Phone (513) 221-1100 · Fax (513) 569-5297

Other Identifiers 1

Medicaid7100442570KY

Accepted 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 Lea Gilmore Cnp 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 ID941583884
PECOS Enrollment IDI20250219000458
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 2

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 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.
54 services52 patients
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.
33 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Mercy Health-St Rita's Medical Center

Acute Care Hospitals · Lima, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360066
Location730 West Market StreetLima, OH 45801 · Allen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Pharmacist
200 ABRAHAM FLEXNER WAY, ADMINISTRATION
LOUISVILLE, KY 40202
Internal Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Radiology (Diagnostic Radiology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Practitioner
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Internal Medicine (Nephrology)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Pharmacy (Community/Retail Pharmacy)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Nurse Practitioner (Family)
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202
Emergency Medicine
200 ABRAHAM FLEXNER WAY
LOUISVILLE, KY 40202

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 Gilmore's NPI number?

The NPI number for Lauren Gilmore is 1205373552. It was assigned to this individual provider in the NPPES registry on January 25, 2017.

Where is Lauren Gilmore located?

Lauren Gilmore practices at 200 Abraham Flexner Way, Louisville, KY 40202. The listed phone number is (502) 587-4267.

What is Lauren Gilmore's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lauren Gilmore enrolled in Medicare?

Yes. Lauren Gilmore 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 Gilmore accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc. and CareSource list Lauren Gilmore 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 Gilmore affiliated with any hospitals?

According to CMS data, Lauren Gilmore is affiliated with Jewish Hospital & St Mary's Healthcare and Mercy Health-St Rita's Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Gilmore was last updated on January 15, 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.