Lauran E Mejia, FNP-BC
Individual provider Active NPI Family Nurse Practitioner · Pecatonica, IL
NPI 1114358264 · NPPES record last updated Apr 5, 2024
Key facts
- NPI
- 1114358264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209.0011007 (IL)
- Practice address
- 16129 Kelley Rd
Pecatonica, IL 61063-9449 - Phone
- (815) 329-3959
- NPI assigned
- Nov 27, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131218000946 | IL | Practitioner - Nurse Practitioner | 1759518798 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.0011007 | IL | Yes |
Addresses
Primary practice location
16129 Kelley Rd
Pecatonica, IL 61063-9449
Mailing address
2222 E State St
Suite 209
Rockford, IL 61104-1573
Phone (815) 988-8500
Other providers in Pecatonica, IL
- Martin Gerard Janecke
- Ashton Sidney Kendell
- Sarah Kuperus
- Heather Jean Lynde
- Erin Marie Madden
- Tiffany N Newcastle
- Pecatonica Chiropractic Center
- Pecatonica Cusd 321
- Pecatonica Fire Protection District
- Pecatonica Pharmacy Inc
All providers in Pecatonica, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.