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LAUREN LEE GAUTHIER NP-C
NPI 1558025635
Nurse Practitioner - Family in Lenox, MI

Active since October 26, 2021PECOS EnrolledAccepts Medicare Assignment
36267 26 MILE RD STE 3, LENOX, MI 48048(586) 716-1371(586) 716-4855 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren Lee Gauthier Np-c NPPES

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

LAUREN LEE GAUTHIER NP-C (NPI 1558025635) is an individual family provider in Lenox, Michigan, licensed in Michigan (4704309553) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Mclaren Macomb, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1558025635
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameLAUREN LEE GAUTHIERCredential: NP-C
Location Address36267 26 MILE RD STE 3Lenox, MI 48048-3253
Mailing Address36267 26 Mile Rd Ste 3Lenox, MI 48048-3253 · (586) 716-1371 · Fax (586) 716-4855
Phone(586) 716-1371
Fax(586) 716-4855
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 26, 2021
Last NPPES UpdateDecember 29, 2021
NPPES CertifiedDecember 29, 2021
✔ NPI 1558025635 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 MI · 4704309553
36267 26 MILE RD STE 3, Lenox, MI 48048
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 Lee Gauthier Np-c 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 ID143611038
PECOS Enrollment IDI20220104001038
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services56 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
44 services41 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
27 services24 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
23 services12 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Macomb

Acute Care Hospitals · Mount Clemens, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230227
Location1000 Harrington StMount Clemens, MI 48043 · Macomb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48048 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 4

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

PHYSICIAN HEALTHCARE NETWORK, PC
Clinic/Center (Urgent Care)
36267 26 MILE RD STE 3
LENOX, MI 48048
Macomb County (586) 716-1371
MRS. JENNY GAYLE YESTREPSKY NP
Nurse Practitioner (Family)
36267 26 MILE RD STE 3
LENOX, MI 48048
Macomb County (586) 716-1371
TARA ELAINE FLETCHER FNP
Nurse Practitioner (Family)
36267 26 MILE RD STE 3
LENOX, MI 48048
Macomb County (586) 716-1371
KATHERINE HOLDWICK FNP-C
Nurse Practitioner (Family)
36267 26 MILE RD STE 3
LENOX, MI 48048
Macomb County (586) 716-1371

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 Gauthier's NPI number?

The NPI number for Lauren Gauthier is 1558025635. It was assigned to this individual provider in the NPPES registry on October 26, 2021.

Where is Lauren Gauthier located?

Lauren Gauthier practices at 36267 26 Mile Rd Ste 3, Lenox, MI 48048. The listed phone number is (586) 716-1371.

What is Lauren Gauthier's specialty?

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

Is Lauren Gauthier enrolled in Medicare?

Yes. Lauren Gauthier 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.

What insurance does Lauren Gauthier accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Lauren Gauthier 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.

Is Lauren Gauthier affiliated with any hospitals?

According to CMS data, Lauren Gauthier is affiliated with Mclaren Macomb.

When was this NPI record last updated?

The NPPES record for Lauren Gauthier was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.