| Lauren Elaine Petry, NP | |
|
1423 N Jefferson Ave Ste K100, Springfield, MO 65802-1917 | |
| (417) 269-3915 | |
| (417) 269-3913 |
| Full Name | Lauren Elaine Petry |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1423 N Jefferson Ave Ste K100, Springfield, Missouri |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447702212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 2007034599 (Missouri) | Secondary |
| 363L00000X | Nurse Practitioner | 2017008465 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Premiere Home Health | Saint charles, MO | Home health agency |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Empowerme Rehabilitation Illinois Llc | 2365718277 | 334 |
| Empowerme Medical Group Pc | 7214392059 | 12 |
| Entity Name | Empowerme Np, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114672599 PECOS PAC ID: 8527452358 Enrollment ID: O20220222000244 |
| Entity Name | Empowerme Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811682107 PECOS PAC ID: 7214392059 Enrollment ID: O20230623001508 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Elaine Petry, NP Po Box 4046, Springfield, MO 65808-4046 Ph: (417) 269-5712 | Lauren Elaine Petry, NP 1423 N Jefferson Ave Ste K100, Springfield, MO 65802-1917 Ph: (417) 269-3915 |
Ven Thi Lam, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2828 N National Ave, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4720 | |
Mrs. Erin Elizabeth Duvall, APRN, FNP-C, PMHNP-B Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1901 E Bennett - B, Springfield, MO 65804 Phone: 417-619-4129 | |
Michelle Spencer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2750 S Campbell Ave, Springfield, MO 65807 Phone: 417-269-2281 Fax: 417-269-2292 | |
Mrs. Cassondra Dawn Simmoneau, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3800 S National Ave Ste 510, Springfield, MO 65807 Phone: 417-875-3000 | |
Beverly Jo Gann, RNC,WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2828 N National Ave, Doctors Hospital Of Springfield, Specialty Clinic, Springfield, MO 65803 Phone: 417-837-4000 Fax: 417-875-4724 | |
Ms. Jennifer L. Passanise, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1435 E Bradford Pkwy, Springfield, MO 65804 Phone: 417-881-4994 Fax: 417-881-4998 | |
Sally R Schafer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1423 N Jefferson Ave, Springfield, MO 65802 Phone: 417-269-4636 Fax: 417-269-7036 |