Laura Bryan, FNP-C
Individual provider Active NPI Nurse Practitioner · Sullivan, MO
NPI 1962391490 · NPPES record last updated Oct 21, 2025
Key facts
- NPI
- 1962391490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- 2025015609 (MO)
- Practice address
- 751 Sappington Bridge Rd
Sullivan, MO 63080-2354 - Phone
- (573) 468-4186
- NPI assigned
- Jun 30, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Missouri Baptist Hospital of Sullivan
Practice addresses (Care Compare)
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Phone (573) 468-4186
Hospital & facility affiliations
- Missouri Baptist Sullivan Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- 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 |
|---|---|---|---|---|
| I20251113004481 | MO | Practitioner - Nurse Practitioner | 8224529672 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025015609 | MO | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Missouri Baptist Hospital of Sullivan | Current |
Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current | Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current |
Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Current |
Accepting new patients | |
| Missouri Baptist Hospital of Sullivan | Nurse Practitioner | Past | Accepting new patients |
Locations
240 College St
Ste 100
Bourbon, MO 65441
102 Ozark Dr
#B
Cuba, MO 65453
Phone (573) 860-6600
510 W Main St
Steelville, MO 65565
Phone (573) 468-4186
751 Sappington Bridge Rd
Sullivan, MO 63080
Phone (573) 468-1343
965 Mattox Dr
Sullivan, MO 63080
Phone (573) 468-7054
Interoperability endpoints
- https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2025015609 | MO | |
| Nurse Practitioner | 363L00000X | 2025015609 | MO | Yes |
Addresses
Primary practice location
751 Sappington Bridge Rd
Sullivan, MO 63080-2354
Mailing address
PO Box 959318
Saint Louis, MO 63195-9318
Phone (573) 468-1997
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2 | Health Information Exchange (HIE) |
Other providers in Sullivan, MO
- Sadie Blankenship
- Barbara L Blaue
- Catherine Marie Blunda
- Diana Busjra Brown
- Nancy Bryan-Schatz
- Caroline Brym
- Allyson Marie Byron
- Anna Carr
- Christopher a. Parks, DDS, P.C.
- Kathleen Cockrell
All providers in Sullivan, MO · Nurse Practitioner in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2025. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.