NPIMap

Individual provider Active NPI

Laura Ann Wilson, FNP-C

  • Family Nurse Practitioner
  • Collinsville, IL
National Provider Identifier
1710604780
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209026113 Issued in IL
Practice address
1215 Vandalia St
Collinsville, IL 62234-4060
Phone
(618) 343-6015
NPI assigned
Oct 20, 2022
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209026113 IL Primary

Addresses

Primary practice location

1215 Vandalia St
Collinsville, IL 62234-4060

Mailing address

1130 Jacob Dr
Red Bud, IL 62278-2433
Phone (618) 719-4939

Other names 1

  • Laura Ann Whelan Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125001146 IL Practitioner - Nurse Practitioner 6002287323 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Ahs Il Medical Group LLCGroup PAC ID 5496111676, 46 clinicians

Practice addresses (Care Compare)

1215 Vandalia St
Collinsville, IL 62234-4060
Phone (618) 343-6015

2044 Madison Ave
Granite City, IL 62040-4641
Phone (618) 451-1500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209026113ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ahs Il Medical Group LLC CurrentSince Nov 8, 2023 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 1, 2026 Accepting new patients
Southern Illinois Healthcare Foundation Inc CurrentSince Jan 1, 2026 Accepting new patients
Southern Illinois Healthcare Foundation Inc Past Accepting new patients

Locations

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

1215 Vandalia St
Collinsville, IL 62234
Phone (618) 343-6015

101 United Dr
Collinsville, IL 62234
Phone (618) 344-0248

1000 Eleven S
Ste 1A
Columbia, IL 62236
Phone (618) 281-8400

2001 State St
East St Louis, IL 62205
Phone (618) 271-0204

4273 S State Route 159
Glen Carbon, IL 62034
Phone (618) 288-2297

2100 Madison Ave
Ste 301
Granite City, IL 62040

2044 Madison Ave
Ste 15
Granite City, IL 62040
Phone (618) 451-1500

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

619 Edwardsville Rd
Troy, IL 62294
Phone (618) 667-1200

Interoperability endpoints

  • Direct secure messaging: laura.wilson.1@28328.direct.athenahealth.com
  • Direct secure messaging: lwilso02@yourcarecommunity.org

Organizations & group practices 4

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.

Hospital & facility affiliations 8

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": "1666224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1710604780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 JACOB DR",
            "city": "RED BUD",
            "state": "IL",
            "postal_code": "622782433",
            "telephone_number": "618-719-4939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 VANDALIA ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622344060",
            "telephone_number": "618-343-6015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "LAURA",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-20",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209026113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "WHELAN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.