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LAUREN E PHILLEY PNP-AC
NPI 1356996771
Nurse Practitioner - Pediatrics, Critical Care in Houston, TX

Active since August 02, 2019PECOS Enrolled
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 340, HOUSTON, TX 77030(832) 914-2047 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 22, 2021, Aug 2, 2019 (2 updates tracked since 2019).

About Lauren E Philley Pnp-ac NPPES

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

LAUREN E PHILLEY PNP-AC (NPI 1356996771) is an individual pediatrics, critical care provider in Houston, Texas, licensed in Texas (AP143741) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356996771
Entity TypeIndividualFemale
Primary Taxonomy363LP0222X
Provider Legal NameLAUREN E PHILLEYCredential: PNP-AC
Location Address6410 FANNIN ST STE 340Houston, TX 77030-3004
Mailing Address6400 Fannin St Ste 2350Houston, TX 77030-1554 · (832) 914-2047
Phone(832) 914-2047
Sole ProprietorNo
Enumeration DateAugust 2, 2019
Last NPPES UpdateAugust 1, 20252 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1356996771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Pediatrics, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0222X
License✔ Licensed in TX · AP143741
6410 FANNIN ST STE 340, Houston, TX 77030
Open in Google Maps ↗

Other Names 1

Former Name (1)Lauren E Hartman

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lauren E Philley Pnp-ac 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.

Medicare Billing Reassignment

Medicare enrollment records show Lauren Philley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ut Physicians
Same address
Anesthesiology
6410 FANNIN ST, 1500
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 3,111 clinicians in this Medicare group
NPI 1033157821 (832) 325-7325

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 77030 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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 Philley's NPI number?

The NPI number for Lauren Philley is 1356996771. It was assigned to this individual provider in the NPPES registry on August 2, 2019. The provider is also known as Lauren E Hartman.

Where is Lauren Philley located?

Lauren Philley practices at 6410 Fannin St Ste 340, Houston, TX 77030. The listed phone number is (832) 914-2047.

What is Lauren Philley's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, Critical Care, with taxonomy code 363LP0222X.

Is Lauren Philley enrolled in Medicare?

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

Which organization bills Medicare for Lauren Philley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Philley reassigns Medicare benefits to Ut Physicians (Houston, TX). The 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 Philley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Philley accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Lauren Philley 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 Philley was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.