LAUREN GULLO PA-C
NPI 1326875741
Physician Assistant in Grand Rapids, MI

Q: What is Lauren Gullo's NPI number?

The NPI number for Lauren Gullo is 1326875741. It was assigned to this individual provider in the NPPES registry on September 18, 2024.

Q: What is Lauren Gullo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Gullo was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 18, 2024PECOS EnrolledAccepts Medicare Assignment

145 MICHIGAN ST NE STE 5200, GRAND RAPIDS, MI 49503(616) 486-6700 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 6, 2025, Sep 18, 2024 (2 updates tracked since 2024).

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About Lauren Gullo Pa-c NPPES

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

LAUREN GULLO PA-C (NPI 1326875741) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601012746) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Corewell Health Zeeland Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1326875741

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLAUREN GULLOCredential: PA-C

Location Address145 MICHIGAN ST NE STE 5200Grand Rapids, MI 49503-2565

Mailing Address100 Michigan St Ne # Mc845Grand Rapids, MI 49503-2560

Phone(616) 486-6700

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateSeptember 18, 2024

Last NPPES UpdateJanuary 6, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 6, 2025

✔ NPI 1326875741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MI · 5601012746

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

145 MICHIGAN ST NE STE 5200, Grand Rapids, MI 49503

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Gullo Pa-c 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 ID749715316

PECOS Enrollment IDI20241120001646

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.

Hospital Affiliations CMS Care Compare 4

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

Corewell Health Zeeland Hospital

Acute Care Hospitals · Zeeland, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number230003

Location8333 Felch StZeeland, MI 49464 · Ottawa County

Emergency services Birthing friendly

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230038

Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County

Emergency services Birthing friendly

Corewell Health Gerber Hospital

Critical Access Hospitals · Fremont, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231338

Location212 S Sullivan StFremont, MI 49412 · Newaygo County

Emergency services Birthing friendly

Corewell Health Pennock Hospital

Critical Access Hospitals · Hastings, MI

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number231339

Location1009 W Green StHastings, MI 49058 · Barry County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 14

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

LAMA KHOLOUD KHALEK FNP

Nurse Practitioner (Family)