LAUREN DETJEN FNP-BC
NPI 1447899620
Nurse Practitioner - Family in Kenilworth, IL

Q: What is Lauren Detjen's NPI number?

The NPI number for Lauren Detjen is 1447899620. It was assigned to this individual provider in the NPPES registry on January 5, 2020.

Q: What is Lauren Detjen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Lauren Detjen was last updated on January 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 05, 2020PECOS Enrolled

534 GREEN BAY RD, KENILWORTH, IL 60043(847) 256-5505 Get Directions Write a Review

NPPES record last updated: January 5, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lauren Detjen Fnp-bc NPPES

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

LAUREN DETJEN FNP-BC (NPI 1447899620) is an individual family provider in Kenilworth, Illinois, licensed in Illinois (209.020634) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447899620

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLAUREN DETJENCredential: FNP-BC

Location Address534 GREEN BAY RDKenilworth, IL 60043-1801

Mailing Address3241 W Palmer St Apt 2eChicago, IL 60647-0899 · (614) 915-7763

Phone(847) 256-5505

Sole ProprietorNo

Enumeration DateJanuary 5, 2020

✔ NPI 1447899620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.020634

534 GREEN BAY RD, Kenilworth, IL 60043

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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 (PECOS)

Lauren Detjen Fnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60043 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

Other Providers at the Same Location NPPES 9

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

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