LAUREN ELISE OPPENHEIM CRNP
NPI 1336796564
Nurse Practitioner - Women's Health in Bryn Mawr, PA

Active since August 22, 2019PECOS EnrolledAccepts Medicare Assignment
85.48/100
CMS Quality Rating
919 CONESTOGA RD STE 104, BRYN MAWR, PA 19010(610) 525-6400(610) 525-1801 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 28, 2022, Aug 25, 2021, Nov 18, 2019 and 1 more (4 updates tracked since 2019).

About Lauren Elise Oppenheim Crnp NPPES

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

LAUREN ELISE OPPENHEIM CRNP (NPI 1336796564) is an individual women's health provider in Bryn Mawr, Pennsylvania, licensed in Pennsylvania (SP020085) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1336796564
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameLAUREN ELISE OPPENHEIMCredential: CRNP
Location Address919 CONESTOGA RD STE 104Bryn Mawr, PA 19010-1352
Mailing Address800 Walnut Street, 11 FloorPhiladelphia, PA 19107-5109 · (215) 829-2345 · Fax (215) 829-3365
Fax(610) 525-1801
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 22, 2019
Last NPPES UpdateOctober 28, 20224 updates tracked since enumeration
NPPES CertifiedOctober 28, 2022
✔ NPI 1336796564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in PA · SP020085
919 CONESTOGA RD STE 104, Bryn Mawr, PA 19010

Secondary Practice Location 1

Location 1800 Walnut Street, 11 FloorPhiladelphia, PA 19107-5109 · Phone (215) 829-2345 · Fax (215) 829-3365

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 Elise Oppenheim Crnp 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 ID5698108629
PECOS Enrollment IDI20191205002193
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lauren Oppenheim reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
250 KING OF PRUSSIA RD, 4TH FLOOR
Radnor, PA 19087
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group
Surgery
1001 CHESTERBROOK BLVD, 3RD FLOOR
Berwyn, PA 19312
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
Obstetrics & Gynecology
450 CRESSON BLVD STE 300
Phoenixville, PA 19460
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 226 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19010 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Obstetrics & Gynecology
919 CONESTOGA RD STE 104
BRYN MAWR, PA 19010
Obstetrics & Gynecology
919 CONESTOGA RD STE 104
BRYN MAWR, PA 19010
Obstetrics & Gynecology
919 CONESTOGA RD STE 104
BRYN MAWR, PA 19010
Obstetrics & Gynecology
919 CONESTOGA RD STE 104
BRYN MAWR, PA 19010

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 Oppenheim's NPI number?

The NPI number for Lauren Oppenheim is 1336796564. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Lauren Oppenheim located?

Lauren Oppenheim practices at 919 Conestoga Rd Ste 104, Bryn Mawr, PA 19010. The listed phone number is (610) 525-6400.

What is Lauren Oppenheim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Lauren Oppenheim enrolled in Medicare?

Yes. Lauren Oppenheim 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 organizations bill Medicare for Lauren Oppenheim's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Oppenheim reassigns Medicare benefits to 3 organizations: Clinical Care Associates Of The University Of Pennsylvania Health (Radnor, PA), University Of Penn-Medical Group (Berwyn, PA) and Regional Womens Health Group LLC (Phoenixville, PA). Each 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 Oppenheim's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Oppenheim accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lauren Oppenheim 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 Oppenheim was last updated on October 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.