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LAUREN MICHELLE BLUE M.D.
NPI 1740626639
Obstetrics & Gynecology in Sheboygan, WI

Active since May 17, 2013PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
1411 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 496-4700 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2022, Jan 5, 2022, Sep 15, 2017 (3 updates tracked since 2017).

About Lauren Michelle Blue M.d. NPPES

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

LAUREN MICHELLE BLUE M.D. (NPI 1740626639) is an individual obstetrics & gynecology provider in Sheboygan, Wisconsin, licensed in New Hampshire (3900) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1740626639
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameLAUREN MICHELLE BLUECredential: M.D.
Location Address1411 N TAYLOR DRSheboygan, WI 53081-3043
Mailing AddressPo Box 19070Green Bay, WI 54307-9070 · (920) 496-4700
Phone(920) 496-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 17, 2013
Last NPPES UpdateSeptember 27, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2022
✔ NPI 1740626639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NH · 3900
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1411 N TAYLOR DR, Sheboygan, WI 53081
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Dean Health Plan, Network Health.Insurance ›

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 Michelle Blue M.d. 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 ID941436950
PECOS Enrollment IDI20220208002402
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

4

Medicare enrollment records show Lauren Blue reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Nicholas Hospital-Sisters Of The Third Order Of St Francis
0.2 mi
General Acute Care Hospital
3100 SUPERIOR AVE
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 673 clinicians in this Medicare group
NPI 1730184342 (920) 459-8300
Prevea Clinic, Inc.
52 mi
Internal Medicine
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 190 clinicians in this Medicare group
NPI 1306869276 (920) 496-4700
St Vincent Hospital-Hospital Sisters-Third Order Of St Francis
52 mi
General Practice
2710 EXECUTIVE DR
Green Bay, WI 54304
  • Reassigned Medicare billing, Wisconsin enrollment
  • 742 clinicians in this Medicare group
NPI 1285613638 (920) 433-8287
Prairie Du Chien Memorial Hospital Association Inc
176 mi
Clinical Medical Laboratory
37868 US HIGHWAY 18
Prairie Du Chien, WI 53821
  • Reassigned Medicare billing, Wisconsin enrollment
  • Also billed through NPI 1619024197 (Wisconsin)
  • 231 clinicians in this Medicare group
NPI 1295883247 (608) 357-2000

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 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.
42 services26 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

SUSAN ANNE EDNA EVANS DPM
Podiatrist
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
AJHANI KESAVAN MD
Family Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
MS. KAREN LU COLVIN C.R.N.A.
Nurse Anesthetist, Certified Registered
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-1600
MARYLOU MERCADO
Registered Nurse
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
PARAGON ANESTHESIA, LTD
Anesthesiology
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 451-8142
SHEBOYGAN EAR, NOSE & THROAT, S.C.
Otolaryngology (Facial Plastic Surgery)
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 457-2100
DR. SUZANNE S HEROLD MD
Internal Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700
DR. JOSEPH C MCCORMICK III M.D.
Orthopaedic Surgery
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Sheboygan County (920) 496-4700

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 Blue's NPI number?

The NPI number for Lauren Blue is 1740626639. It was assigned to this individual provider in the NPPES registry on May 17, 2013.

Where is Lauren Blue located?

Lauren Blue practices at 1411 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 496-4700.

What is Lauren Blue's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Lauren Blue enrolled in Medicare?

Yes. Lauren Blue 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 Blue's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Blue reassigns Medicare benefits to 4 organizations: St. Nicholas Hospital-Sisters Of The Third Order Of St Francis (Sheboygan, WI), Prevea Clinic, Inc. (Green Bay, WI), St Vincent Hospital-Hospital Sisters-Third Order Of St Francis (Green Bay, WI) and Prairie Du Chien Memorial Hospital Association Inc (Prairie Du Chien, WI). 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 Blue's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Blue accept?

Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan and Network Health list Lauren Blue 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 Blue affiliated with any hospitals?

According to CMS data, Lauren Blue is affiliated with St Nicholas Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Blue was last updated on September 27, 2022. 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.