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DR. LAUREN RUSSELL PROSTROLLO DO
NPI 1619546454
Family Medicine in Jacksonville, FL

Active since June 24, 2021PECOS EnrolledAccepts Medicare Assignment
4844 DEER LAKE DR W STE 1, JACKSONVILLE, FL 32246(904) 738-8690(904) 390-7426 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 9, 2025, Jun 24, 2021 (2 updates tracked since 2021).

About Dr. Lauren Russell Prostrollo Do NPPES

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

DR. LAUREN RUSSELL PROSTROLLO DO (NPI 1619546454) is an individual family medicine provider in Jacksonville, Florida, licensed in Florida (OS20431) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and is a graduate of Philadelphia Col Of Osteo Med, Sewanee (2021).

NPPES Registry Identity

NPI1619546454
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LAUREN RUSSELL PROSTROLLOCredential: DO
Location Address4844 DEER LAKE DR W STE 1Jacksonville, FL 32246-4506
Mailing AddressPo Box 746638Atlanta, GA 30374-6638 · (904) 202-2092 · Fax (904) 376-4075
Phone(904) 738-8690
Fax(904) 390-7426
Sole ProprietorYes
Medical School CMSPhiladelphia Col Of Osteo Med, SewaneeGraduated 2021
Enumeration DateJune 24, 2021
Last NPPES UpdateApril 9, 20252 updates tracked since enumeration
NPPES CertifiedApril 9, 2025
✔ NPI 1619546454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS20431
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4844 DEER LAKE DR W STE 1, Jacksonville, FL 32246
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Dr. Lauren Russell Prostrollo Do 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 ID3476954140
PECOS Enrollment IDI20250306001845
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.

Hospital Affiliations CMS Care Compare 3

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32246 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

VERNIECEA J HARRIS MD
Family Medicine
4844 DEER LAKE DR W STE 1
JACKSONVILLE, FL 32246
Duval County (904) 738-8690
DR. JANE MARIE BROWN DNP, FNP-C
Nurse Practitioner
4844 DEER LAKE DR W STE 1
JACKSONVILLE, FL 32246
Duval County (904) 738-8690
MEREDITH RIDDLE M.D.
Family Medicine
4844 DEER LAKE DR W STE 1
JACKSONVILLE, FL 32246
Duval County (904) 738-8690
KATHERINE E WILLIAMS DO
Family Medicine
4844 DEER LAKE DR W STE 1
JACKSONVILLE, FL 32246
Duval County (904) 738-8690
DR. MALLORY C WHITLEY MD
Family Medicine
4844 DEER LAKE DR W STE 1
JACKSONVILLE, FL 32246
Duval County (904) 738-8690

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 Prostrollo's NPI number?

The NPI number for Lauren Prostrollo is 1619546454. It was assigned to this individual provider in the NPPES registry on June 24, 2021.

Where is Lauren Prostrollo located?

Lauren Prostrollo practices at 4844 Deer Lake Dr W Ste 1, Jacksonville, FL 32246. The listed phone number is (904) 738-8690.

What is Lauren Prostrollo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lauren Prostrollo enrolled in Medicare?

Yes. Lauren Prostrollo 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 Prostrollo accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Lauren Prostrollo 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 Prostrollo affiliated with any hospitals?

According to CMS data, Lauren Prostrollo is affiliated with Ascension St Vincent's Riverside, Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Lauren Prostrollo was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.