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MRS. LOU ANNE PAYNE CRNP
NPI 1811322159
Nurse Practitioner in New Kensington, PA

Active since September 05, 2013PECOS Enrolled
77.5/100
CMS Quality Rating
311 7TH ST, NEW KENSINGTON, PA 15068(724) 335-1200(724) 335-1200 Get Directions Write a Review

NPPES record last updated: January 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 4, 2026, Jun 5, 2025 (2 updates tracked since 2025).

About Mrs. Lou Anne Payne Crnp NPPES

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

MRS. LOU ANNE PAYNE CRNP (NPI 1811322159) is an individual nurse practitioner in New Kensington, Pennsylvania, licensed in Pennsylvania (SP013157) and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1811322159
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. LOU ANNE PAYNECredential: CRNP
Location Address311 7TH STNew Kensington, PA 15068-6529
Mailing Address38 Roseanne CirIrwin, PA 15642-7827 · (412) 965-3649
Phone(724) 335-1200
Fax(724) 335-1200
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 5, 2013
Last NPPES UpdateJanuary 4, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2026
✔ NPI 1811322159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in PA · SP013157
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.
Also ListedFamily MedicineTaxonomy 207Q00000X · License SP013157 (PA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License SP013157 (PA)
311 7TH ST, New Kensington, PA 15068
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lou Anne Payne Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163653817
PECOS Enrollment IDI20140324000754
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15068 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 2

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

FAMILY HEALTH SERVICES AND ALLERGY ASTHMA CENTER PC
Pediatrics
311 7TH ST
NEW KENSINGTON, PA 15068
Westmoreland County (724) 335-1200
FAMILY HEALTH SERVICES AND ALLERGY-ASTHMA CENTER
Clinic/Center
311 7TH ST
NEW KENSINGTON, PA 15068
Westmoreland County (724) 335-1200

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 Lou Payne's NPI number?

The NPI number for Lou Payne is 1811322159. It was assigned to this individual provider in the NPPES registry on September 5, 2013.

Where is Lou Payne located?

Lou Payne practices at 311 7th St, New Kensington, PA 15068. The listed phone number is (724) 335-1200.

What is Lou Payne's specialty?

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

Is Lou Payne enrolled in Medicare?

Yes. Lou Payne is registered in the Medicare PECOS enrollment system.

What insurance does Lou Payne accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lou Payne 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 Lou Payne was last updated on January 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.