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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LAUREN ELLIS MCGUIRE N.P.
NPI 1891193132
Nurse Practitioner - Family in Rocky Mount, VA

Active since December 19, 2014PECOS EnrolledAccepts Medicare Assignment
796 OLD FRANKLIN TPKE, ROCKY MOUNT, VA 24151(540) 483-5168(540) 483-5835 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 1, 2026, Jul 8, 2026, Dec 18, 2025 and 2 more (5 updates tracked since 2024).

About Mrs. Lauren Ellis Mcguire N.p. NPPES

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

MRS. LAUREN ELLIS MCGUIRE N.P. (NPI 1891193132) is an individual family provider in Rocky Mount, Virginia, licensed in Virginia (0024172263) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1891193132
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. LAUREN ELLIS MCGUIRECredential: N.P.
Location Address796 OLD FRANKLIN TPKERocky Mount, VA 24151-5507
Mailing Address213 S Jefferson St Ste 1006Roanoke, VA 24011-1713 · (540) 224-5516
Phone(540) 483-5168
Fax(540) 483-5835
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 19, 2014
Last NPPES UpdateOctober 1, 20265 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1891193132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in VA · 0024172263
796 OLD FRANKLIN TPKE, Rocky Mount, VA 24151
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11875 Electric RdSalem, VA 24153-7207 · Phone (866) 389-2727
Location 25610 Williamson RdRoanoke, VA 24012-1442 · Phone (540) 265-8924

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

Mrs. Lauren Ellis Mcguire N.p. 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 ID4587978804
PECOS Enrollment IDI20150915000154
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

5

Medicare enrollment records show Lauren Mcguire reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carilion Giles Community Hospital
Same address
Rural Health
796 OLD FRANKLIN TPKE
Rocky Mount, VA 24151
  • Reassigned Medicare billing, Virginia enrollment
  • 608 clinicians in this Medicare group
NPI 1275151318 (540) 483-5168
Medexpress Urgent Care , PC - Virginia
16 mi
Urgent Care
4092 ELECTRIC RD
Roanoke, VA 24018
  • Reassigned Medicare billing, Virginia enrollment
  • 156 clinicians in this Medicare group
NPI 1306117205 (540) 774-4163
Carilion Medical Center
17 mi
Dental
2017 JEFFERSON ST SW
Roanoke, VA 24014
  • Reassigned Medicare billing, Virginia enrollment
  • 1,207 clinicians in this Medicare group
NPI 1114399276 (540) 981-7128
Carilion Healthcare Corporation
18 mi
Multi-Specialty
213 S JEFFERSON ST STE 1006
Roanoke, VA 24011
  • Reassigned Medicare billing, Virginia enrollment
  • 956 clinicians in this Medicare group
NPI 1447206370 (540) 224-5452
Carilion Rockbridge Community Hospital
28 mi
Rural Health
548 BLUE RIDGE AVE
Bedford, VA 24523
  • Reassigned Medicare billing, Virginia enrollment
  • 507 clinicians in this Medicare group
NPI 1952929812 (540) 586-4723

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 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.

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.
28 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services18 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.
18 services18 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
14 services14 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.
13 services13 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24151 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Reported Quality Measures

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%22 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%1,392 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%212 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
26%1,270 patients2/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 229 patients
Patients totalRate: 2% · 229 patients
2%229 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 5

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

ADAM TATE MD
Family Medicine
796 OLD FRANKLIN TPKE
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5168
CARILION GILES COMMUNITY HOSPITAL
Clinic/Center (Rural Health)
796 OLD FRANKLIN TPKE
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5168
MRS. SARAH LONGEST STUBBS MD
Family Medicine
796 OLD FRANKLIN TPKE
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5168
CARILION HEALTHCARE CORPORATION
Clinic/Center (Rural Health)
796 OLD FRANKLIN TPKE
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5168
DR. JAMES ALLEN MAXEY DO
Family Medicine
796 OLD FRANKLIN TPKE
ROCKY MOUNT, VA 24151
Franklin County (540) 483-5168

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 Mcguire's NPI number?

The NPI number for Lauren Mcguire is 1891193132. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Where is Lauren Mcguire located?

Lauren Mcguire practices at 796 Old Franklin Tpke, Rocky Mount, VA 24151. The listed phone number is (540) 483-5168.

What is Lauren Mcguire's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Lauren Mcguire enrolled in Medicare?

Yes. Lauren Mcguire 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 Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Mcguire reassigns Medicare benefits to 5 organizations: Carilion Giles Community Hospital (Rocky Mount, VA), Medexpress Urgent Care , PC - Virginia (Roanoke, VA), Carilion Medical Center (Roanoke, VA), Carilion Healthcare Corporation (Roanoke, VA) and Carilion Rockbridge Community Hospital (Bedford, VA). 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 Mcguire'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 Lauren Mcguire was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days 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.