Laura J Sills, RN, MSN, ANP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

130812 Issued in MO

Practice address

1060 Meyer Rd
Wentzville, MO 63385-3800

Phone

(314) 230-1500

Fax

(314) 230-1122

NPI assigned

Mar 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

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, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Yoon Dermatology, LLCGroup PAC ID 5799101465, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lsills@yoonderm.emadirect.md

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.

• Yoon Dermatology LLC

  • Dermatology Physician
  • Wentzville, MO
  • NPI 1811510886
  Medicare reassignment Care Compare group NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1124030424
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1205837218
  Medicare reassignment NPD
• Pike County Memorial Hospital

  • Rural Health Clinic/Center
  • Bowling Green, MO
  • NPI 1134633456
  NPD
• Pike County Memorial Hospital

  • Critical Access Hospital
  • Louisiana, MO
  • NPI 1346464450
  NPD

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1699804104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853800",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 W 18th St",
            "address_purpose": "LOCATION",
            "city": "Hermann",
            "state": "MO",
            "postal_code": "650411547",
            "country_code": "US",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1203 Smizer Mill Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Fenton",
            "state": "MO",
            "postal_code": "630263483",
            "country_code": "US",
            "telephone_number": "314-230-1500",
            "fax_number": "314-230-1122",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1015 W Adams St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633341974",
            "country_code": "US",
            "telephone_number": "573-324-5300",
            "fax_number": "573-324-6059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILLS",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "RN, MSN, ANP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-02",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "130812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT NP LICENSE",
            "identifier": "130812",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charla Salmon Shurtleff, COTA/L
• Christine Sibilla, PLPC
• Angela Rene Siboda, RN
• Amanda Jewel Sileo, D.O.
• James David Sills-Powell, D.P.M.
• Andrea Marie Simmons, MS-CCC-SLP
• Mary Ann Elizabeth Simon, COTA/L
• Sinapsis Psychiatry LLC
• Harmeeta K Singh, M.D.
• Sixth Sense CDS Services LLC

• Nurse Practitioner in Wentzville, MO
• Providers in Wentzville, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.