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LAUREN MOAK
NPI 1417630559
Physician Assistant in Meridian, ID

Active since August 07, 2023PECOS EnrolledAccepts Medicare Assignment
520 S EAGLE RD, MERIDIAN, ID 83642(208) 706-5651(208) 706-5344 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2025, Aug 7, 2023 (2 updates tracked since 2023).

About Lauren Moak NPPES

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

LAUREN MOAK (NPI 1417630559) is an individual physician assistant in Meridian, Idaho, licensed in Idaho (1271985) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1417630559
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN MOAK
Location Address520 S EAGLE RDMeridian, ID 83642-6351
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 706-5651
Fax(208) 706-5344
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 7, 2023
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
✔ NPI 1417630559 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 ID · 1271985
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.
520 S EAGLE RD, Meridian, ID 83642
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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 Moak 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 ID8729570056
PECOS Enrollment IDI20251125000348
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

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83642 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 20

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

DR. MAGGIE D. VUTURO MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
MICHAEL J GRIFFITHS RPH
Pharmacist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5255
ROBIN MCGAW HUGHES PT
Physical Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 381-4757
MRS. AUDREY GYUNG NGUYEN PHARMD
Pharmacist (Pharmacotherapy)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-1523
MR. BENJAMIN WATSON PA-C
Physician Assistant (Medical)
520 S EAGLE RD, SUITE 1234
MERIDIAN, ID 83642
Ada County (661) 332-9138
NICOLE DANIELLE BORCYK OTR/L
Occupational Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5000
CRAIG R SPENCER MD
Urology
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
TRAVIS G WILLIAMS DO
Internal Medicine (Medical Oncology)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5651

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 Moak's NPI number?

The NPI number for Lauren Moak is 1417630559. It was assigned to this individual provider in the NPPES registry on August 7, 2023.

Where is Lauren Moak located?

Lauren Moak practices at 520 S Eagle Rd, Meridian, ID 83642. The listed phone number is (208) 706-5651.

What is Lauren Moak's specialty?

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

Is Lauren Moak enrolled in Medicare?

Yes. Lauren Moak 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.

Is Lauren Moak affiliated with any hospitals?

According to CMS data, Lauren Moak is affiliated with St Luke's Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Moak was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.