1. Home
  2. Directory
  3. Pennsylvania
  4. Wyomissing
  5. Nurse Practitioner
  6. NPI Profile

LAUREN DOUGLAS
NPI 1578187928
Nurse Practitioner in Wyomissing, PA

Active since June 02, 2020PECOS EnrolledAccepts Medicare Assignment
1030 REED AVE STE 114, WYOMISSING, PA 19610(610) 816-5848(610) 376-1320 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 10, 2020, Jun 2, 2020 (2 updates tracked since 2020).

About Lauren Douglas NPPES

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

LAUREN DOUGLAS (NPI 1578187928) is an individual nurse practitioner in Wyomissing, Pennsylvania, licensed in Pennsylvania (SP022036) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1578187928
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAUREN DOUGLAS
Location Address1030 REED AVE STE 114Wyomissing, PA 19610-2039
Mailing Address1030 Reed Ave Ste 114Wyomissing, PA 19610-2039 · (610) 816-5848 · Fax (610) 376-1320
Phone(610) 816-5848
Fax(610) 376-1320
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 2, 2020
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1578187928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP022036
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1030 REED AVE STE 114, Wyomissing, PA 19610
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Lauren Douglas 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 ID8426471053
PECOS Enrollment IDI20200714003931
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 Reassignments

3

Medicare enrollment records show Lauren Douglas reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Berks Diabetes Management
0.1 mi
Adult Health
1030 REED AVE, SUITE 116
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7 clinicians in this Medicare group
NPI 1619345436 (610) 373-7743
Reading Nephrology, Ltd
0.1 mi
Nephrology
1030 REED AVE, STE 114
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 12 clinicians in this Medicare group
NPI 1558426833 (610) 376-7365
Keystone Orthopaedic Specialists LLC
1.5 mi
Orthopaedic Surgery
2607 KEISER BLVD STE 200
Wyomissing, PA 19610
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 41 clinicians in this Medicare group
NPI 1255666012 (484) 509-0840

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 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.
46 services44 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
29 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers14 claims960 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
3 suppliers19 claims19 services$17.00 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
2 suppliers15 claims15 services$11.79 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Douglas's NPI number?

The NPI number for Lauren Douglas is 1578187928. It was assigned to this individual provider in the NPPES registry on June 2, 2020.

Where is Lauren Douglas located?

Lauren Douglas practices at 1030 Reed Ave Ste 114, Wyomissing, PA 19610. The listed phone number is (610) 816-5848.

What is Lauren Douglas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Lauren Douglas enrolled in Medicare?

Yes. Lauren Douglas 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.

Which organizations bill Medicare for Lauren Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Douglas reassigns Medicare benefits to 3 organizations: Berks Diabetes Management (Wyomissing, PA), Reading Nephrology, Ltd (Wyomissing, PA) and Keystone Orthopaedic Specialists LLC (Wyomissing, PA). Each 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 Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lauren Douglas affiliated with any hospitals?

According to CMS data, Lauren Douglas is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Lauren Douglas was last updated on June 10, 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.