DR. KENDRA STOUT LAWRENCE MD
NPI 1861415762
Internal Medicine in Newington, CT
About Dr. Kendra Stout Lawrence Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENDRA STOUT LAWRENCE MD (NPI 1861415762) is an individual internal medicine provider in Newington, Connecticut, licensed in Connecticut (039642) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kendra Stout Lawrence Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kendra Lawrence reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Waterbury, CT 06704
- Reassigned Medicare billing, Connecticut enrollment
- 22 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06111 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEWINGTON, CT 06111
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 Kendra Lawrence's NPI number?
The NPI number for Kendra Lawrence is 1861415762. It was assigned to this individual provider in the NPPES registry on July 25, 2006.
Where is Kendra Lawrence located?
Kendra Lawrence practices at 555 Willard Ave Primary Care, Firm 2, Newington, CT 06111. The listed phone number is (866) 808-7921.
What is Kendra Lawrence's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Kendra Lawrence enrolled in Medicare?
Yes. Kendra Lawrence is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kendra Lawrence's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kendra Lawrence reassigns Medicare benefits to Nova Physician Group PLLC (Waterbury, CT). 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 Kendra Lawrence's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kendra Lawrence was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Kendra Stout Lawrence, MD · NPI 1861415762
Internal Medicine physician in Newington, Connecticut. Individual provider, active in the CMS NPPES registry since July 25, 2006.
## Identity
- **NPI:** 1861415762 (Entity type: Individual)
- **Enumerated:** July 25, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 039642 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 555 WILLARD AVE, PRIMARY CARE, FIRM 2, Newington, CT 06111-2631
- **Phone:** (866) 808-7921
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Nova Physician Group PLLC (NPI 1093561136, Waterbury, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 26, 2025
- **Other identifiers:** Medicaid 004179033 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1861415762) · Data from the CMS NPPES public registry.