Individual provider Active NPI

Lauren Blackwelder, MD

  • Emergency Medicine Physician
  • Cape Girardeau, MO
National Provider Identifier
1194785394
Registry record updated Oct 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
114108 Issued in MO
Practice address
211 St Francis Dr
Cape Girardeau, MO 63703-8399
Phone
(573) 331-5229
Fax
(573) 331-5039
NPI assigned
Mar 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 114108 MO Primary

Addresses

Primary practice location

211 St Francis Dr
Cape Girardeau, MO 63703-8399

Mailing address

211 St Francis Dr
Cape Girardeau, MO 63703-8399
Phone (573) 331-5229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KY, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20040621000014 MO Practitioner - Emergency Medicine 6406831999 Reassigns benefits to 2 organizations
I20061128000261 KY Practitioner - Emergency MedicinePractitioner - Internal Medicine 6406831999 Reassigns benefits to 1 organization
I20240509002061 FL Practitioner - Emergency Medicine 6406831999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Missouri, Columbia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sikeston Emergency Group LLCGroup PAC ID 6305112814, 19 clinicians

Practice addresses (Care Compare)

1008 N Main St
Sikeston, MO 63801-5044
Phone (573) 471-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
65.2
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Em Alliance LLC Emergency Medicine CurrentSince Mar 26, 2024 Accepting new patients
Sikeston Emergency Group LLC Emergency Medicine CurrentSince Oct 1, 2017 Accepting new patients
Southeast Health Center of Stoddard County LLC Emergency Medicine CurrentSince Dec 1, 2019 Accepting new patients
Southeast Health Center of Stoddard County, LLC Current Accepting new patients
Southeast Health Center of Stoddard County, LLC CurrentSince Dec 1, 2019 Accepting new patients
Fep of Kentucky LLC Emergency Medicine CurrentSince Aug 27, 2023 Accepting new patients
Racers Emergency Physicians PLLC Emergency Medicine PastSince Apr 20, 2025 Accepting new patients
LBL Urgent Care Physicians Emergency Medicine PastSince Dec 17, 2009 Accepting new patients

Locations

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1200 N One Mile Rd
Dexter, MO 63841
Phone (573) 614-1900

100 Highway 21 N
Ellington, MO 63638
Phone (573) 663-2511

1008 N Main St
Sikeston, MO 63801
Phone (573) 471-1600

7 Easton Oval
#L4387
Columbus, OH 43219

Organizations & group practices 8

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 2

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1194785394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 ST FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637038399",
            "telephone_number": "573-331-5229",
            "fax_number": "573-331-5039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 ST FRANCIS DR",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637038399",
            "telephone_number": "573-331-5229",
            "fax_number": "573-331-5039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELDER",
        "first_name": "LAUREN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "114108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

Verify at the official NPI Registry.