Individual provider Active NPI

Kayla C Tourville, ACNP

  • Nurse Practitioner
  • Lake St Louis, MO
National Provider Identifier
1144796764
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2018037134 Issued in MO
Practice address
300 Medical PLZ Ste 150
Lake St Louis, MO 63367-1483
Phone
(636) 625-2662
NPI assigned
Oct 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 209020631 IL
Adult Health Nurse Practitioner 363LA2200X 2019040757 MO
Acute Care Nurse Practitioner 363LA2100X 2018037134 MO
Adult Health Nurse Practitioner 363LA2200X 209020631 IL
Nurse Practitioner 363L00000X 2018037134 MO Primary

Addresses

Primary practice location

300 Medical PLZ Ste 150
Lake St Louis, MO 63367-1483

Mailing address

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911

Other practice location 1

2120 Madison Ave Ste 101
Granite City, IL 62040-4746
Phone (618) 876-8214

Other practice location 2

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911

Other practice location 3

11155 Dunn Rd Ste 304E
Saint Louis, MO 63136-6111
Phone (314) 741-0911

Other identifiers 1

IdentifierTypeStateIssuer
420061876MedicaidMO

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) Christian Hospital Northeast- Northwest
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Christian Hospital Northeast- Northwest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181208000185 MO Practitioner - Nurse Practitioner 9234473802 Reassigns benefits to 2 organizations
I20200218001902 IL Practitioner - Nurse Practitioner 9234473802 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Louis Heart and Vascular PCGroup PAC ID 7719880129, 22 clinicians
SSM Medical Group IncGroup PAC ID 6608776299, 565 clinicians

Practice addresses (Care Compare)

2120 Madison Ave
Suite 101
Granite City, IL 62040-4746
Phone (618) 876-8214

300 Medical PLZ
Suite 150
Lake St Louis, MO 63367-1483
Phone (636) 625-2662

3550 McKelvey Rd
Bridgeton, MO 63044-2527
Phone (314) 741-0911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.17 of 100Reported as group
Quality
65.03
Improvement activities
20
Cost
79.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018037134MOMDAcute Care Nurse Practitioner
209020631ILMDAdult Health Nurse Practitioner
2019040757MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis Heart & Vascular, P.C. CurrentSince Mar 15, 2019 Accepting new patients
SSM Medical Group, Inc. CurrentSince Mar 4, 2026 Accepting new patients
SSM Medical Group Inc. CurrentSince Mar 4, 2026 Accepting new patients

Locations

2120 Madison Ave
Ste 101
Granite City, IL 62040
Phone (618) 798-3000

3550 McKelvey Rd
Bridgeton, MO 63044
Phone 31474109114048

507 W Pine St
Farmington, MO 63640
Phone (573) 454-2466

300 Medical Plz
Ste 150
Lake St Louis, MO 63367
Phone (636) 625-2662

1551 Wall St
Ste 410
Saint Charles, MO 63303
Phone (314) 838-5702

3009 N Ballas Rd
Ste 100B
Saint Louis, MO 63131
Phone (314) 270-1796

11155 Dunn Rd
Ste 304E
Saint Louis, MO 63136
Phone 3147410911 ext. 4012

2335 Dougherty Ferry Rd
Ste A
Saint Louis, MO 63122
Phone (314) 774-7235

2325 Dougherty Ferry Rd
Ste 203
Saint Louis, MO 63122
Phone (314) 480-6445

105 Creekside Office Dr
Wentzville, MO 63385
Phone (636) 639-6262

Interoperability endpoints

  • Direct secure messaging: kayla.tourville.p5@direct.ahgcardiology.nextgenshare.com
  • Direct secure messaging: ktourvil@yourcarecommunity.org

Organizations & group practices 3

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

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1144796764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 MCKELVEY RD",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442527",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 MEDICAL PLZ STE 150",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633671483",
            "telephone_number": "636-625-2662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Madison Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620404746",
            "country_code": "US",
            "telephone_number": "618-876-8214",
            "fax_number": "618-451-9111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3550 McKelvey Rd",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "MO",
            "postal_code": "630442527",
            "country_code": "US",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11155 Dunn Rd Ste 304E",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631366111",
            "country_code": "US",
            "telephone_number": "314-741-0911",
            "fax_number": "314-741-0501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOURVILLE",
        "first_name": "KAYLA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "ACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209020631",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2019040757",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MO",
            "license": "2018037134",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209020631",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2018037134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420061876",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11155 Dunn Rd Ste 304E",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Christian Hospital Northeast- Northwest",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "api",
            "address_1": "11133 Dunn Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

Verify at the official NPI Registry.