LAWRENCE MEDICAL GROUP
NPI 1952149676
Family Medicine in Oceana, WY

Active since July 17, 2024
1700 COOK PARKWAY, SUITE 1, OCEANA, WY 24870(304) 601-5549(304) 310-1599 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 12, 2025, Jul 17, 2024 (2 updates tracked since 2024).

About Lawrence Medical Group NPPES

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

LAWRENCE MEDICAL GROUP (NPI 1952149676), doing business as Renegade Health, is a healthcare organization registered as a family medicine in Oceana, Wyoming and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Mount Gay and lists Wendy White, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1952149676
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAWRENCE MEDICAL GROUP
Location Address1700 COOK PARKWAY, SUITE 1Oceana, WY 24870
Mailing AddressPo Box 301Mount Gay, WV 25637-0301 · (304) 688-7027 · Fax (304) 310-1599
Fax(304) 310-1599
Organization SubpartNo
Authorized OfficialWendy WhiteCredentialing Specialist · (304) 688-7027
Enumeration DateJuly 17, 2024
Last NPPES UpdateMarch 12, 20252 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1952149676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1700 COOK PARKWAY, Oceana, WY 24870

Other Names 1

Doing Business AsRenegade Health

Secondary Practice Location 1

Location 1182 MATHIS ADDITIONMOUNT GAY, WV 25637 · Phone (304) 601-5549 · Fax (304) 310-1599

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lawrence Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lawrence Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1124667266
1700 COOK PARKWAY SUITE 1
Oceana, WV 24870
(304) 886-3997
✔ PECOS✔ Accepts MedicareSame address

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

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 Lawrence Medical Group's NPI number?

The NPI number for Lawrence Medical Group is 1952149676. It was assigned to this organization in the NPPES registry on July 17, 2024. The provider is doing business as Renegade Health.

Where is Lawrence Medical Group located?

Lawrence Medical Group is located at 1700 Cook Parkway Suite 1, Oceana, WY 24870. The listed phone number is (304) 601-5549.

What is Lawrence Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Lawrence Medical Group enrolled in Medicare?

Yes. Lawrence Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lawrence Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Lawrence Medical Group. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Lawrence Medical Group accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Lawrence Medical Group 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 Lawrence Medical Group was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.