Kayla Ann Pryor, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209020484 Issued in IL

Practice address

2001 State St
East Saint Louis, IL 62205-1803

Phone

(618) 271-0204

NPI assigned

Jan 24, 2020

Last updated

Jul 21, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest Emergency Good Samaritan, IncGroup PAC ID 1658529342, 28 clinicians

Southern Illinois Healthcare Foundation IncGroup PAC ID 1456256874, 117 clinicians

Midwest Emergency Centralia Campus Associates, Inc.Group PAC ID 2163672650, 15 clinicians

Emergency Services Midwest SCGroup PAC ID 2769746056, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• SSM Health St Mary's Hospital -Centralia Hospital, Centralia, IL, CCN 140034

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kayla.pryor.1@9559.direct.athenahealth.com

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.

• Emergency Services Midwest SC

  • Emergency Medicine Physician
  • Belleville, IL
  • NPI 1174024806

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Midwest Emergency Centralia Campus Associates, Inc

  • Emergency Medicine Physician
  • Centralia, IL
  • NPI 1396034245
  Medicare reassignment Care Compare group NPD
• Midwest Emergency Good Samaritan, Inc

  • Emergency Medicine Physician
  • Mount Vernon, IL
  • NPI 1629367578
  Medicare reassignment Care Compare group NPD
• Southern Illinois Healthcare Foundation Inc

  dba Centreville Health Center

  • Federally Qualified Health Center (FQHC)
  • Centreville, IL
  • NPI 1609813500
  Medicare reassignment Care Compare group NPD
• Anderson Medical Group, LLC

  • General Practice Physician
  • Maryville, IL
  • NPI 1700807716
  Medicare reassignment NPD
• Cep America-Illinois Hospitalists, LLP

  • Internal Medicine Physician
  • Belleville, IL
  • NPI 1841613403
  Medicare reassignment NPD
• Cepamerica Illinois LLP

  • Emergency Medicine Physician
  • Elgin, IL
  • NPI 1912283110
  Medicare reassignment NPD
• Midwest Emergency Anderson Health, Inc

  • Emergency Medicine Physician
  • Staunton, IL
  • NPI 1710647615
  Medicare reassignment NPD
• Midwest Inpatient Anderson Health, Inc

  • Emergency Medicine Physician
  • Maryville, IL
  • NPI 1821758608
  Medicare reassignment NPD
• Vituity - Illinois Auc LLP

  • Emergency Medicine Physician
  • Effingham, IL
  • NPI 1306334198
  Medicare reassignment NPD
• Bloom With Hope PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Carlyle, IL
  • NPI 1629962592
  NPD Authorized official
• Cep America-Illinois Hospitalists

  • Hospitalist Physician
  • Effingham, IL
  • NPI 1174022362
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Mary's Hospital, Centralia, Illinois

  dba SSM Health St. Mary's Hospital - Centralia

  • General Acute Care Hospital
  • Centralia, IL
  • NPI 1083617245
  Care Compare affiliation

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1093345415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 SOUTH WASHINGTON STREET",
            "city": "BARTELSO",
            "state": "IL",
            "postal_code": "62218",
            "telephone_number": "618-363-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 STATE ST",
            "city": "EAST SAINT LOUIS",
            "state": "IL",
            "postal_code": "622051803",
            "telephone_number": "618-271-0204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 N 2nd St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622301614",
            "country_code": "US",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 South Washington street",
            "address_purpose": "LOCATION",
            "city": "Bartelso",
            "state": "IL",
            "postal_code": "62218",
            "country_code": "US",
            "telephone_number": "618-363-6597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7348 State Route 162",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "IL",
            "postal_code": "622943367",
            "country_code": "US",
            "telephone_number": "618-972-1568",
            "fax_number": "618-205-3561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRYOR",
        "first_name": "KAYLA",
        "middle_name": "ANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-24",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209020484",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277003703",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kayla.pryor.1@9559.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2001 State St",
            "city": "East Saint Louis",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622051803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marianna Peterson, MSW
• Sandra Marie Pettiford, P. T.
• Tina Yvonne Pettiford, LPC
• Verna J. Porter, MD
• Adam Pruett, RDN
• Leah Pulley
• Pure Living Recovery and Rehabilition Center
• Quality Home Care Solutions Inc
• Jewel Radford, RN
• Roadside Medical, LLC (Roadside Medical Clinic and Lab)

• Family Nurse Practitioner in East Saint Louis, IL
• Providers in East Saint Louis, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.