LAUREN ELISE KUMMER NP
NPI 1952807281
Nurse Practitioner in Charlotte, NC

Q: What is Lauren Kummer's NPI number?

The NPI number for Lauren Kummer is 1952807281. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Lauren Kummer's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lauren Kummer was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment

95.35/100

CMS Quality Rating

1021 MOREHEAD MEDICAL DR, STE 6100, CHARLOTTE, NC 28204(980) 442-2000 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, May 4, 2023, Mar 9, 2023 and 48 more (51 updates tracked since 2018).

On this page

About Lauren Elise Kummer Np NPPES

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

LAUREN ELISE KUMMER NP (NPI 1952807281) is an individual nurse practitioner in Charlotte, North Carolina, licensed in North Carolina (5010424) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1952807281

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLAUREN ELISE KUMMERCredential: NP

Location Address1021 MOREHEAD MEDICAL DR, STE 6100Charlotte, NC 28204-2990

Mailing AddressPo Box 19305Charlotte, NC 28219-9305

Phone(980) 442-2000

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 4, 2018

Last NPPES UpdateJuly 15, 202451 updates tracked since enumeration

✔ NPI 1952807281 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 NC · 5010424

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 ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 5010424 (NC)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5010424 (NC)

1021 MOREHEAD MEDICAL DR, Charlotte, NC 28204

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11350 S Kings DrCharlotte, NC 28207-2134 · Phone (704) 446-1255

Location 21021 Morehead Medical Dr, Ste ACharlotte, NC 28204-2990 · Phone (980) 442-2000

Location 31025 Morehead Medical Dr, Ste 600Charlotte, NC 28204-2963 · Phone (704) 355-8816

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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 Elise Kummer Np 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 ID5294082939

PECOS Enrollment IDI20180725004051

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

Medicare enrollment records show Lauren Kummer reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Charlotte-Mecklenburg Hospital Authority

Same address

Surgical Oncology

1021 MOREHEAD MEDICAL DR, STE A
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
1,534 clinicians in this Medicare group

NPI 1508135799 (980) 442-2000

Carolinas Medical Center

Same address

Surgical Critical Care

1025 MOREHEAD MEDICAL DR, STE 500
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
2,223 clinicians in this Medicare group

NPI 1699979732 (704) 347-4033

Carolinas Physicians Network Inc

Same address

Pediatric Urology

1025 MOREHEAD MEDICAL DR, STE 275
Charlotte, NC 28204

Reassigned Medicare billing, North Carolina enrollment
2,057 clinicians in this Medicare group

NPI 1356880801 (704) 446-5070

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

18 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC

2/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number340113

Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28204 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

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.

95.35/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.22

Promoting Interoperability

100

Improvement Activities

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.

ARMIDA PARALA-METZ MD

Internal Medicine (Hospice and Palliative Medicine)

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

MANISHA BHUTANI MD

Internal Medicine (Hematology)

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

TRISHA WOOTEN FNP

Nurse Practitioner (Family)

1021 MOREHEAD MEDICAL DR, SUITE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

VALERIE DENISE TAYLOR PA

Physician Assistant

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

MICHAEL SHELDON RICHARDSON MD

Internal Medicine

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

LEAH HOWE CUPP FNP

Nurse Practitioner (Family)

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

DEBA SARMA MD

Surgery

1021 MOREHEAD MEDICAL DR, STE A
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

PETER EARL CLARK MD

Urology

1021 MOREHEAD MEDICAL DR, STE 6100
CHARLOTTE, NC 28204

Mecklenburg County (980) 442-2000

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 Kummer's NPI number?

The NPI number for Lauren Kummer is 1952807281. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Where is Lauren Kummer located?

Lauren Kummer practices at 1021 Morehead Medical Dr Ste 6100, Charlotte, NC 28204. The listed phone number is (980) 442-2000.

What is Lauren Kummer's specialty?

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

Is Lauren Kummer enrolled in Medicare?

Yes. Lauren Kummer 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 Kummer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Kummer reassigns Medicare benefits to 3 organizations: The Charlotte-Mecklenburg Hospital Authority (Charlotte, NC), Carolinas Medical Center (Charlotte, NC) and Carolinas Physicians Network Inc (Charlotte, NC). 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 Kummer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lauren Kummer accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 5 other insurers list Lauren Kummer 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.

Is Lauren Kummer affiliated with any hospitals?

According to CMS data, Lauren Kummer is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Lauren Kummer was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.