Individual provider Active NPI

Laura K Bowers, NNP-BC

  • Neonatal Nurse Practitioner
  • Springfield, IL
National Provider Identifier
1023346582
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
209-006714 Issued in IL
Practice address
415 N 9TH St # 4W64
Springfield, IL 62702-5303
Phone
(217) 545-8000
NPI assigned
Nov 20, 2009
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 209-006714 IL Primary
Critical Care Neonatal Nurse Practitioner 363LN0005X 209006714041325322 IL

Addresses

Primary practice location

415 N 9TH St # 4W64
Springfield, IL 62702-5303

Mailing address

201 E Madison St
Springfield, IL 62702-5131
Phone (217) 545-3787

Other names 1

  • Miss Laura K Teske Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120425000815 IL Practitioner - Nurse Practitioner 0244492981 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209-006714ILMDNeonatal Nurse Practitioner
209006714041325322ILMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Apr 15, 2012 Accepting new patients
Central Illinois Pathology, SC Current Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince May 10, 2021 Accepting new patients
Saint Francis Medical Center CurrentSince May 1, 2014 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Board of Trustees of the University of Illinois CurrentSince Apr 15, 2012 Accepting new patients
Siu Physicians & Surgeons, Inc CurrentSince May 10, 2021 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 1, 2018 Accepting new patients
Saint Francis Medical Center CurrentSince May 1, 2014 Accepting new patients

Locations

7694 Solutions Ctr
Chicago, IL 60677

3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

201 E Madison St
Springfield, IL 62702
Phone (217) 545-1881

301 N 8th St
Springfield, IL 62701
Phone (217) 545-0003

415 N 9th St
Springfield, IL 62702
Phone (217) 545-5117

415 N 9th St
#4W64
Springfield, IL 62702

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1023346582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E MADISON ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025131",
            "telephone_number": "217-545-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N 9TH ST # 4W64",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025303",
            "telephone_number": "217-545-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOWERS",
        "first_name": "LAURA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "NNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-20",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IL",
            "license": "209-006714",
            "primary": true
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "IL",
            "license": "209006714041325322",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "TESKE",
            "middle_name": "K",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.