LAUREN ANTONISON (FNP-BC) – Family Nurse Practitioner, NPI 1235538091

LAUREN ANTONISON (FNP-BC) is a healthcare provider. based in Mantua, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. 26NJ00515000 (NJ). The NPI Number for LAUREN ANTONISON (FNP-BC) is 1235538091

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN ANTONISON (FNP-BC)
NPI
1235538091
Phone
(856) 684-0326
Address
1107 MANTUA PIKE STE 720-208
Enumeration Date
18 August 2014
Last Update Date
19 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8564241333
Graduation Year
2013 (13 years ago)
PAC ID
8729200589
Group Practice PAC ID
6103869466
Professional Enrollment ID
I20141111000307
Address ID
NJ080032763CH1301XRDXX301
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for LAUREN ANTONISON (FNP-BC)

  • 1107 MANTUA PIKE STE 720-208

    MANTUA, NJ 080511606

    Phone: (856) 684-0326

    Type: Mailing

  • 213 WESTWOOD CT

    WEST DEPTFORD, NJ 080963134

    Phone: (856) 684-0326

    Type: Location

  • 770 WOODLANE RD

    WESTAMPTON, NJ 080603804

    Phone: (609) 267-5928

    Type: Mailing

  • 45 Euclid St Ste 202

    Woodbury, NJ 080964631

    Phone: (856) 628-4504

    Type: Location

  • 45 EUCLID ST STE 202

    WOODBURY, NJ 080964631

    Phone: (856) 628-4504

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2023-06-13 • Largest payer in this snapshot: ABBVIE INC. ($28).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$28
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: 2014-11-11

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
I20141111000307INurse PractitionerNJTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes16359$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes11339$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes7830$0
99214Established patient office or other outpatient visit, 30-39 minutes6815$0
90833Psychotherapy with evaluation and management visit, 30 minutes6327$0
View full utilization report →

Insurance plans in this area (ZIP 08051)

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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: 6103869466View full group profile
NameSpecialtyState
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Mental Health CounselorNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
Clinical Social WorkerNJ
-NJ
Clinical Social WorkerFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for LAUREN ANTONISON (FNP-BC)?
LAUREN ANTONISON (FNP-BC) — NPI 1235538091 — is the standard way to identify this listing.
Does the file indicate LAUREN ANTONISON (FNP-BC) is practicing under active NPI?
Directory data currently reports LAUREN ANTONISON (FNP-BC) as active.
What is LAUREN ANTONISON (FNP-BC)'s primary classification?
Family Nurse Practitioner is the headline specialty for LAUREN ANTONISON (FNP-BC) here. Clinical services aligned with this taxonomy classification.
What area does LAUREN ANTONISON (FNP-BC) serve?
LAUREN ANTONISON (FNP-BC)'s listing highlights Mantua, New Jersey; more addresses can appear in NPPES.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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