LAUREN BACHTEL – Physician Assistant, NPI 1104555119

LAUREN BACHTEL is a healthcare provider. based in Tallahassee, Florida. specializing in PHYSICIAN ASSISTANT. The NPI Number for LAUREN BACHTEL is 1104555119

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN BACHTEL
NPI
1104555119
Phone
(561) 324-0479
Address
3460 VALLEY CREEK DR
Enumeration Date
6 June 2022
Last Update Date
13 August 2024

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
9436682358
Group Practice PAC ID
6608773627
Professional Enrollment ID
I20241031000545
Address ID
FL323085377TA2452XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for LAUREN BACHTEL

  • 3460 VALLEY CREEK DR

    TALLAHASSEE, FL 323123633

    Phone: (561) 324-0479

    Type: Mailing

  • 1715 BRUSH HILL RD

    TALLAHASSEE, FL 323084989

    Phone: (561) 324-0479

    Type: Mailing

  • 2452 MAHAN DR STE 101

    TALLAHASSEE, FL 323085377

    Phone: (850) 877-2126

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 81 Open Payments records for all available years, with a total value of $2,096.

Total Amount is formed as General ($2,096) + Research ($0) + Ownership ($0) = $2,096.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ABBVIE INC. ($769).

Total Amount

$2,096

General + Research + Ownership

Payments

81

Total payment records

General Amount

$2,096

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241031000545IPhysician AssistantFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32312)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608773627View full group profile
NameSpecialtyState
-FL
Plastic And Reconstructive SurgeryFL
Physician AssistantFL
-FL
Plastic And Reconstructive SurgeryFL
Physician AssistantFL
Plastic And Reconstructive SurgeryFL
-FL

Reviews

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Frequently asked questions

How do payers reference LAUREN BACHTEL?
For LAUREN BACHTEL, use NPI 1104555119 as the unique 10-digit identifier.
Is there an active status for LAUREN BACHTEL?
For scheduling context, LAUREN BACHTEL is shown as active in the registry.
What expertise is attributed to LAUREN BACHTEL?
LAUREN BACHTEL's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LAUREN BACHTEL?
Travel planning: use Tallahassee, Florida as the reference point for LAUREN BACHTEL, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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