LAUREN MARIE SUSORT PMHNP-BC
NPI 1770414278
Nurse Practitioner - Psychiatric/Mental Health in Medford, OR

Active since May 26, 2026PECOS EnrolledAccepts Medicare Assignment
724 S CENTRAL AVE STE 101, MEDFORD, OR 97501(541) 249-7724 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Lauren Marie Susort Pmhnp-bc NPPES

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

LAUREN MARIE SUSORT PMHNP-BC (NPI 1770414278) is an individual psychiatric/mental health provider in Medford, Oregon, licensed in Oregon (10061429) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (2026).

NPPES Registry Identity

NPI1770414278
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAUREN MARIE SUSORTCredential: PMHNP-BC
Location Address724 S CENTRAL AVE STE 101Medford, OR 97501-7808
Mailing Address414 James CirTalent, OR 97540-9760 · (541) 324-0812
Sole ProprietorYes
Medical School CMSYale University School Of MedicineGraduated 2026
Enumeration DateMay 26, 2026
Last NPPES UpdateMay 28, 2026
NPPES CertifiedMay 28, 2026
✔ NPI 1770414278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in OR · 10061429
724 S CENTRAL AVE STE 101, Medford, OR 97501

Accepted 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 Marie Susort Pmhnp-bc 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 ID8224500657
PECOS Enrollment IDI20260616003546
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 Reassignment

Medicare enrollment records show Lauren Susort reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
724 S CENTRAL AVE STE 101D
Medford, OR 97501
  • Reassigned Medicare billing, Oregon enrollment
  • 5 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97501 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
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
724 S CENTRAL AVE STE 101
MEDFORD, OR 97501
Nurse Practitioner (Psychiatric/Mental Health)
724 S CENTRAL AVE STE 101
MEDFORD, OR 97501
Nurse Practitioner (Psychiatric/Mental Health)
724 S CENTRAL AVE STE 101
MEDFORD, OR 97501

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 Susort's NPI number?

The NPI number for Lauren Susort is 1770414278. It was assigned to this individual provider in the NPPES registry on May 26, 2026.

Where is Lauren Susort located?

Lauren Susort practices at 724 S Central Ave Ste 101, Medford, OR 97501. The listed phone number is (541) 249-7724.

What is Lauren Susort's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Lauren Susort enrolled in Medicare?

Yes. Lauren Susort 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 organization bills Medicare for Lauren Susort's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Susort reassigns Medicare benefits to Paradigm Mental Health And Wellness LLC (Medford, OR). The 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 Susort's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Susort accept?

Health plans from BridgeSpan Health Company, Providence Health Plan and Regence BlueCross BlueShield of Oregon list Lauren Susort 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.

When was this NPI record last updated?

The NPPES record for Lauren Susort was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.