KAYLA ANN PRYOR (APRN) – Nurse Practitioner, NPI 1093345415

KAYLA ANN PRYOR (APRN) is a healthcare provider. based in Bartelso, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 209020484 (IL). The NPI Number for KAYLA ANN PRYOR (APRN) is 1093345415

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
KAYLA ANN PRYOR (APRN)
NPI
1093345415
Phone
(618) 363-6597
Address
102 SOUTH WASHINGTON STREET
Enumeration Date
24 January 2020
Last Update Date
21 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6182575644
Graduation Year
2019 (7 years ago)
PAC ID
6608299318
Group Practice PAC ID
2769746056
Professional Enrollment ID
I20200713003228
Address ID
IL622265360BE4500XDRXX300

Contacts

Secure Messaging
kayla.pryor.1@9559.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Other namesUpdated within 12 months

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KAYLA ANN PRYOR (APRN)

  • 102 SOUTH WASHINGTON STREET

    BARTELSO, IL 62218

    Phone: (618) 363-6597

    Type: Mailing

  • 2001 STATE ST

    EAST SAINT LOUIS, IL 622051803

    Phone: (618) 271-0204

    Type: Location

  • 102 South Washington street

    Bartelso, IL 62218

    Phone: (618) 363-6597

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-07-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200713003228INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making8785$0
99284Emergency department visit with moderate level of medical decision making8683$0
99291Critical care, first 30-74 minutes1513$0
99283Emergency department visit with low level of medical decision making1111$0
View full utilization report →

Insurance plans in this area (ZIP 62218)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769746056View full group profile
NameSpecialtyState
Emergency MedicineMO
Emergency MedicineMO
Nurse PractitionerMO
Internal Medicine, Emergency Medicine, Pediatric MedicineTX
Emergency MedicineIL
Emergency MedicineIL
Emergency MedicineCT
Emergency MedicineMO
Emergency MedicineMO
Internal Medicine, Emergency MedicineMO

Reviews

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Frequently asked questions

How do payers reference KAYLA ANN PRYOR (APRN)?
For KAYLA ANN PRYOR (APRN), use NPI 1093345415 as the unique 10-digit identifier.
Is there an active status for KAYLA ANN PRYOR (APRN)?
For scheduling context, KAYLA ANN PRYOR (APRN) is shown as active in the registry.
What expertise is attributed to KAYLA ANN PRYOR (APRN)?
KAYLA ANN PRYOR (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is KAYLA ANN PRYOR (APRN) located near Bartelso?
KAYLA ANN PRYOR (APRN) currently maps to Bartelso, Illinois in this extract.
When was this NPI issued?
Enumeration for KAYLA ANN PRYOR (APRN) is noted as January 24, 2020 where the registry provides it.

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