LAUREN DE'AN CONNER (P.A.-C.) – Medical Physician Assistant, NPI 1689851370

LAUREN DE'AN CONNER (P.A.-C.) is a healthcare provider. based in Woodville, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.-C.. They hold a License No. PA05605 (TX). The NPI Number for LAUREN DE'AN CONNER (P.A.-C.) is 1689851370

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN DE'AN CONNER (P.A.-C.)
NPI
1689851370
Phone
(409) 283-2822
Address
104 N BEECH ST
Enumeration Date
25 January 2008
Last Update Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9362627161
Graduation Year
2007 (19 years ago)
PAC ID
6800962846
Group Practice PAC ID
0042464125
Professional Enrollment ID
I20080827000631
Address ID
TX773518338LI210XXPARK301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

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Provider Addresses for LAUREN DE'AN CONNER (P.A.-C.)

  • 104, North Beech Street, Woodville, Tyler County, Texas, 75979, United States

    WOODVILLE, TX 759794718

    Phone: (409) 283-2822

    Fax: (409) 283-7852

    Type: Mailing

  • 210 W PARK STE 106

    LIVINGSTON, TX 773518338

    Phone: (936) 262-7161

    Fax: (936) 262-7152

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $607.

Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($255).

Total Amount

$607

General + Research + Ownership

Payments

20

Total payment records

General Amount

$607

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2008-08-27

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
I20080827000631IPhysician AssistantTXTBD

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 75979)

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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: 0042464125View full group profile
NameSpecialtyState
D E R M A T O L O G YKY
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
D E R M A T O L O G YTX
D E R M A T O L O G YTX

Reviews

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Frequently asked questions

Is LAUREN DE'AN CONNER (P.A.-C.) listed with a National Provider Identifier?
Yes — LAUREN DE'AN CONNER (P.A.-C.) has NPI 1689851370 on file in the registry.
Is LAUREN DE'AN CONNER (P.A.-C.) still an active registrant?
LAUREN DE'AN CONNER (P.A.-C.) carries an active NPI according to the public dataset.
What clinical focus is listed for LAUREN DE'AN CONNER (P.A.-C.)?
At a glance, LAUREN DE'AN CONNER (P.A.-C.) is tied to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is LAUREN DE'AN CONNER (P.A.-C.) registered?
Use Woodville, Texas as the headline location for LAUREN DE'AN CONNER (P.A.-C.) here.
When was this NPI issued?
Enumeration for LAUREN DE'AN CONNER (P.A.-C.) is noted as January 25, 2008 where the registry provides it.

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