LAUREN CARMELA PRIOR APRN
NPI 1659051704
Nurse Practitioner in Middletown, CT

Q: What is Lauren Prior's NPI number?

The NPI number for Lauren Prior is 1659051704. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Q: What is Lauren Prior's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Prior was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 July 24, 2023PECOS EnrolledAccepts Medicare Assignment

410 SAYBROOK RD STE 201, MIDDLETOWN, CT 06457(860) 347-4620 Get Directions Write a Review

NPPES record last updated: October 12, 2023. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Oct 12, 2023, Jul 24, 2023 (2 updates tracked since 2023).

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About Lauren Carmela Prior Aprn NPPES

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

LAUREN CARMELA PRIOR APRN (NPI 1659051704) is an individual nurse practitioner in Middletown, Connecticut, licensed in Connecticut (12101) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1659051704

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAUREN CARMELA PRIORCredential: APRN

Location Address410 SAYBROOK RD STE 201Middletown, CT 06457-4777

Mailing Address410 Saybrook Rd Ste 201Middletown, CT 06457-4777 · (860) 347-4620

Phone(860) 347-4620

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 24, 2023

Last NPPES UpdateOctober 12, 20232 updates tracked since enumeration

NPPES CertifiedOctober 12, 2023

✔ NPI 1659051704 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 CT · 12101

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.

410 SAYBROOK RD STE 201, Middletown, CT 06457

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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 Carmela Prior Aprn 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 ID143678466

PECOS Enrollment IDI20231128000867

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 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

72 services51 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

57 services56 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

43 services43 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

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.

19 services18 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.

DR. ANGELO HUMBERTO PAREDES M.D.

Internal Medicine (Gastroenterology)

410 SAYBROOK RD STE 201
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 347-4620

MR. JOSHUA N ALDERMAN APRN

Nurse Practitioner

410 SAYBROOK RD STE 201
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 347-4620

XIANG LIU MD

Internal Medicine (Gastroenterology)

410 SAYBROOK RD STE 201
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 347-4620

DR. PERRY K. PRATT JR. MD

Internal Medicine

410 SAYBROOK RD STE 201
MIDDLETOWN, CT 06457

Lower Connecticut River Valley Planning Region (860) 347-4620

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 Prior's NPI number?

The NPI number for Lauren Prior is 1659051704. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Lauren Prior located?

Lauren Prior practices at 410 Saybrook Rd Ste 201, Middletown, CT 06457. The listed phone number is (860) 347-4620.

What is Lauren Prior's specialty?

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

Is Lauren Prior enrolled in Medicare?

Yes. Lauren Prior 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.

When was this NPI record last updated?

The NPPES record for Lauren Prior was last updated on October 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.