LAUREN MARIE KOUP PA-C
NPI 1255701785
Physician Assistant - Surgical in Boston, MA

Active since September 27, 2015PECOS Enrolled
300 LONGWOOD AVE, HUNNEWELL BUILDING, 1ST FLOOR, BOSTON, MA 02115(617) 355-7252 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 20, 2017, Sep 30, 2015 (2 updates tracked since 2015).

About Lauren Marie Koup Pa-c NPPES

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

LAUREN MARIE KOUP PA-C (NPI 1255701785) is an individual surgical provider in Boston, Massachusetts, licensed in Massachusetts (PA5534) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255701785
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameLAUREN MARIE KOUPCredential: PA-C
Location Address300 LONGWOOD AVE, HUNNEWELL BUILDING, 1ST FLOORBoston, MA 02115-5724
Mailing Address300 Longwood Ave, Hunnewell Building, 1st FloorBoston, MA 02115-5724 · (617) 355-7252
Sole ProprietorNo
Enumeration DateSeptember 27, 2015
Last NPPES UpdateDecember 20, 20172 updates tracked since enumeration
NPI 1255701785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in MA · PA5534
300 LONGWOOD AVE, Boston, MA 02115

Other Names 1

Former Name (1)Lauren Marie Tuccelli

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Marie Koup Pa-c 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.

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.

Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115

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 Koup's NPI number?

The NPI number for Lauren Koup is 1255701785. It was assigned to this individual provider in the NPPES registry on September 27, 2015. The provider is also known as Lauren Marie Tuccelli.

Where is Lauren Koup located?

Lauren Koup practices at 300 Longwood Ave Hunnewell Building, 1st Floor, Boston, MA 02115. The listed phone number is (617) 355-7252.

What is Lauren Koup's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Lauren Koup enrolled in Medicare?

Yes. Lauren Koup is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lauren Koup was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.