Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lauren Michelle Bandwen, PAC

Individual provider Physician Assistant · NPI 1487539201

Lauren Michelle Bandwen, PAC is a Physician Assistant in Berea, Ohio. Qualified in 2025, 1 year ago. Practices with Osup Community Outreach LLC, a 142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
1
Licensed in
OH
In the registry since
2025
Specialties on file
2
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

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Practice location Address checks out

275 Eastland Rd
Berea, OH 44017-2005
Phone: (330) 546-4912
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1075 Beecher Xing N Ste A, Gahanna, OH 43230-4572 — (614) 366-6886

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.009575RX (OH)
Physician Assistant Taxonomy 363A00000X · Licence 1236985 (OH)

Record details

NPI number1487539201
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedAugust 11, 2025
Last updated in NPPESNovember 4, 2025
Certification dateNovember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Osup Community Outreach Llc — 142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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