LAUREN PONCHAK (FNP) – Family Nurse Practitioner, NPI 1184005977

LAUREN PONCHAK (FNP) is a healthcare provider. based in Mcconnelsville, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 361547 (OH). The NPI Number for LAUREN PONCHAK (FNP) is 1184005977

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN PONCHAK (FNP)
NPI
1184005977
Phone
(740) 516-9285
Address
910 N KENNEBEC AVE
Enumeration Date
17 June 2015
Last Update Date
17 June 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7404544000
Graduation Year
2015 (11 years ago)
PAC ID
1456667187
Group Practice PAC ID
6406905736
Professional Enrollment ID
I20150826001131
Address ID
OH437011406ZA2951XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for LAUREN PONCHAK (FNP)

  • 910 N KENNEBEC AVE

    MCCONNELSVILLE, OH 437561013

    Phone: (740) 516-9285

    Type: Mailing

  • 800 FOREST AVE

    ZANESVILLE, OH 437012821

    Phone: (740) 454-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $19.

Total Amount is formed as General ($19) + Research ($0) + Ownership ($0) = $19.

Last reported payment date: 2023-03-15 • Largest payer in this snapshot: Neurelis, Inc. ($19).

Total Amount

$19

General + Research + Ownership

Payments

1

Total payment records

General Amount

$19

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-15

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Neurelis, Inc.$19
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: 2015-08-26

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
I20150826001131INurse PractitionerOHTBD

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
99284Emergency department visit with moderate level of medical decision making2020$0
View full utilization report →

Insurance plans in this area (ZIP 43756)

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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: 6406905736View full group profile
NameSpecialtyState
Nurse PractitionerOH
Emergency MedicineMI
Emergency MedicineOH
Emergency MedicineOH
Nurse PractitionerOH
Emergency MedicinePA
Emergency MedicineOH
-PA
Nurse PractitionerOH
Physician AssistantOH

Reviews

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Frequently asked questions

Is there an official ID for LAUREN PONCHAK (FNP) in U.S. healthcare records?
The official identifier for LAUREN PONCHAK (FNP) is NPI 1184005977.
Active or inactive — what applies to LAUREN PONCHAK (FNP)?
You should see LAUREN PONCHAK (FNP) as active in CMS-hosted NPPES data.
What area of care is associated with LAUREN PONCHAK (FNP)?
LAUREN PONCHAK (FNP)'s record emphasizes Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with LAUREN PONCHAK (FNP)?
Directory geography for LAUREN PONCHAK (FNP) centers on Mcconnelsville, Ohio.
Can I trust this NPI listing for LAUREN PONCHAK (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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