LAUREN JENNIFER MCMULLEN NP-C
NPI 1578996948
Nurse Practitioner - Primary Care in Portsmouth, NH

NPI Status: Active since August 20, 2013

Contact Information

1600 WOODBURY AVE
PORTSMOUTH, NH
ZIP 03801
Phone: (603) 602-9070

NPI Profile Information
Primary Taxonomy
Medicare Participation & PECOS Status
Areas of Expertise
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Nurse Practitioner
Primary Care
PECOS Enrolled
Opted-Out Medicare

About LAUREN MCMULLEN

This page provides the complete NPI Profile along with additional information for Lauren Mcmullen, a provider established in Portsmouth, New Hampshire with a medical specialization in Nurse Practitioner, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1578996948 assigned on August 2013. The practitioner's primary taxonomy code is 363LP2300X with license number 2264402 (MA). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI: 1578996948
Provider Name: LAUREN JENNIFER MCMULLEN NP-C
Gender: Female
Entity Type: Individual
Location Address: 1600 WOODBURY AVE PORTSMOUTH, NH 03801
Location Phone: (603) 602-9070
Mailing Address: 25 NEW HAMPSHIRE AVE STE 100 PORTSMOUTH, NH 03801
Mailing Phone: (603) 431-2516
Is Sole Proprietor?: No
Enumeration Date: 08-20-2013
Last Update Date: 10-27-2022
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A nurse practitioner (NP) like Lauren Mcmullen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lauren Mcmullen opted out of Medicare effective on 08-22-2023 until 08-22-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Nurse Practitioner Primary Care
Taxonomy Code: 363LP2300X
Type: Physician Assistants & Advanced Practice Nursing Providers
License No.: 2264402
License State: MA

Medicare Participation & PECOS Enrollment Status

Lauren Mcmullen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 08-22-2023
Opt-Out End Date: 08-22-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Smoking and tobacco use intensive counseling, more than 10 minutes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 03801 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

Average New Patient Price $89.14
Minimum New Patient Price $57.75
Maximum New Patient Price $174.26

Average New Patient Copayment $22.28
Minimum New Patient Copayment $14.43
Maximum New Patient Copayment $43.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

Average Established Patient Price $101.54
Minimum Established Patient Price $18.7
Maximum Established Patient Price $142.15

Average Established Patient Copayment $25.38
Minimum Established Patient Copayment $4.67
Maximum Established Patient Copayment $35.53

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	5	7	8	9	9	6	9	4	8
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	5	14	8	18	9	12	9	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 4 + 8 + 1 + 8 + 9 + 1 + 2 + 9 + 8 + 24 = 82
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
90 - 82 = 8									8

The NPI number 1578996948 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.