LAUREN DEWALT AGNP
NPI 1346603248
Nurse Practitioner - Adult Health in Long Beach, CA

Q: What is Lauren Dewalt's NPI number?

The NPI number for Lauren Dewalt is 1346603248. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Q: What is Lauren Dewalt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Dewalt was last updated on January 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment

3800 KILROY AIRPORT WAY STE 100, LONG BEACH, CA 90806(562) 527-7600 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 27, 2022, Apr 27, 2017, Mar 30, 2016 (3 updates tracked since 2016).

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About Lauren Dewalt Agnp NPPES

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

LAUREN DEWALT AGNP (NPI 1346603248) is an individual adult health provider in Long Beach, California, licensed in California (95006348) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1346603248

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameLAUREN DEWALTCredential: AGNP

Location Address3800 KILROY AIRPORT WAY STE 100Long Beach, CA 90806-6818

Mailing Address4729 E Blue Bird AveOrange, CA 92869-1918 · (949) 293-1456

Phone(562) 527-7600

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateMarch 30, 2016

Last NPPES UpdateJanuary 27, 20223 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1346603248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in CA · 95006348

Also ListedRegistered NurseTaxonomy 163W00000X · License 835264 (CA)

3800 KILROY AIRPORT WAY STE 100, Long Beach, CA 90806

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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 Dewalt Agnp 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 ID244771087

PECOS Enrollment IDI20240920001106, I20251226001515

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90806 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

$96.36 typical visit price

range $62.96 – $187.60

Typical copayment $24.09 (range $15.74 – $46.90)

Most-billed visit code 99203

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

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.

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Other Providers at the Same Location NPPES 17

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

MR. BENJAMIN CHARLES KASKA PA-C

Physician Assistant (Medical)