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DR. LAUREN SHELDON DNP, AGACNP-BC
NPI 1982465365
Nurse Practitioner - Acute Care in Buffalo, NY

Active since January 22, 2024PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON ST, BUFFALO, NY 14263(716) 845-2300 Get Directions Write a Review

NPPES record last updated: October 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Lauren Sheldon Dnp, Agacnp-bc NPPES

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

DR. LAUREN SHELDON DNP, AGACNP-BC (NPI 1982465365) is an individual acute care provider in Buffalo, New York, licensed in New York (432875) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS, is affiliated with Rochester General Hospital, and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1982465365
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameDR. LAUREN SHELDONCredential: DNP, AGACNP-BC
Location AddressELM AND CARLTON STBuffalo, NY 14263-0001
Mailing AddressElm And Carlton StBuffalo, NY 14263-0001 · (716) 845-2300
Phone(716) 845-2300
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 22, 2024
Last NPPES UpdateOctober 18, 2024
NPPES CertifiedOctober 18, 2024
✔ NPI 1982465365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NY · 432875
Also ListedNurse PractitionerTaxonomy 363L00000X · License F432875-01 (NY)
ELM AND CARLTON ST, Buffalo, NY 14263
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Secondary Practice Location 1

Location 11425 Portland AveRochester, NY 14621-3011 · Phone (585) 922-4020

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

Dr. Lauren Sheldon Dnp, Agacnp-bc 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 ID143668558
PECOS Enrollment IDI20240404001822
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 Sheldon reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roswell Park Cancer Institute
9.1 mi
Multi-Specialty
ELM AND CARLTON ST
Buffalo, NY 14263
  • Reassigned Medicare billing, New York enrollment
  • 602 clinicians in this Medicare group
NPI 1720036593 (716) 845-2300
United Memorial Medical Center
39 mi
Hematology & Oncology
127 NORTH ST, SECOND FLOOR
Batavia, NY 14020
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1508260704 (585) 344-5252
The Unity Hospital Of Rochester
64 mi
Clinical Medical Laboratory
160 ELMGROVE PARK
Rochester, NY 14624
  • Reassigned Medicare billing, New York enrollment
  • 1,442 clinicians in this Medicare group
NPI 1720471246 (585) 426-1234
Rochester General Hospital
65 mi
Family Medicine
181 LOMB MEMORIAL DR
Rochester, NY 14623
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
NPI 1174990303 (585) 922-3100
Clifton Springs Sanitarium Co
90 mi
General Acute Care Hospital
2 COULTER RD
Clifton Springs, NY 14432
  • Reassigned Medicare billing, New York enrollment
  • 872 clinicians in this Medicare group
NPI 1366505463 (315) 462-9561

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 2

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
58 services17 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
20 services13 patients

Hospital Affiliations CMS Care Compare

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

Rochester General Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330125
Location1425 Portland AvenueRochester, NY 14621 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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.

MICHELLE DOYLE MCCARTHY PA
Physician Assistant
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. OMAR Y MIRZA DMD
Dentist
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-1067
EMILY KIRCHNER
Family Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (717) 845-2300
STEPHANIE ERIN MYSZKA F.N.P.- BC
Nurse Practitioner (Family)
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-2300
ALEXANDRA VAZQUEZ AGACNP
Nurse Practitioner (Acute Care)
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. DENISE MARIE JOHNSON PHARMD
Pharmacist
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-8584
DR. CALEB NATHANIEL SEAVEY MD PHD
Surgery (Surgical Oncology)
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-2300
MICHAEL S WINNICKI MD
Internal Medicine
ELM AND CARLTON ST
BUFFALO, NY 14263
Erie County (716) 845-2300

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 Sheldon's NPI number?

The NPI number for Lauren Sheldon is 1982465365. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Lauren Sheldon located?

Lauren Sheldon practices at Elm And Carlton St, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Lauren Sheldon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Lauren Sheldon enrolled in Medicare?

Yes. Lauren Sheldon 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 Sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lauren Sheldon reassigns Medicare benefits to 5 organizations: Roswell Park Cancer Institute (Buffalo, NY), United Memorial Medical Center (Batavia, NY), The Unity Hospital Of Rochester (Rochester, NY), Rochester General Hospital (Rochester, NY) and Clifton Springs Sanitarium Co (Clifton Springs, NY). 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 Sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lauren Sheldon affiliated with any hospitals?

According to CMS data, Lauren Sheldon is affiliated with Rochester General Hospital.

When was this NPI record last updated?

The NPPES record for Lauren Sheldon was last updated on October 18, 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.