MRS. LAUREN ELIZABETH GARDSTROM APN
NPI 1548538622
Nurse Practitioner - Family in Chicago, IL

Q: What is Lauren Gardstrom's NPI number?

The NPI number for Lauren Gardstrom is 1548538622. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Q: What is Lauren Gardstrom'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 Gardstrom was last updated on November 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 December 05, 2011PECOS Enrolled

2656 N ELSTON AVE, CHICAGO, IL 60647(773) 252-1994 Get Directions Write a Review

NPPES record last updated: November 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mrs. Lauren Elizabeth Gardstrom Apn NPPES

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

MRS. LAUREN ELIZABETH GARDSTROM APN (NPI 1548538622) is an individual family provider in Chicago, Illinois, licensed in Illinois (209009248) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548538622

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. LAUREN ELIZABETH GARDSTROMCredential: APN

Location Address2656 N ELSTON AVEChicago, IL 60647-2019

Mailing Address2333 W Saint Paul Ave, Apt 212Chicago, IL 60647-5388 · (219) 688-2970

Phone(773) 252-1994

Sole ProprietorNo

Enumeration DateDecember 5, 2011

Last NPPES UpdateNovember 17, 2015

✔ NPI 1548538622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209009248

Also ListedNurse PractitionerTaxonomy 363L00000X · License 209009248 (IL)

2656 N ELSTON AVE, Chicago, IL 60647

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lauren Elizabeth Gardstrom Apn 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 60647 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.

Leave this field empty

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.

MARISOL CAW PHARMD

Pharmacist