MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) – Nurse Practitioner, NPI 1255763173

MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) is a healthcare provider. based in O fallon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials A.C.N.P.. They hold a License No. 209017325 (IL). The NPI Number for MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) is 1255763173

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.)
NPI
1255763173
Phone
(618) 641-5803
Address
3 SAINT ELIZABETH BLVD
Enumeration Date
1 August 2013
Last Update Date
11 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4786331000
Graduation Year
2013 (13 years ago)
PAC ID
2264667526
Group Practice PAC ID
9638076730
Professional Enrollment ID
I20220614001595
Address ID
GA312012102MA777XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:12State licenses:3Digital endpointsOther names

5,074 NURSE PRACTITIONER in LA

Provider Addresses for MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.)

  • 3 SAINT ELIZABETH BLVD

    O FALLON, IL 622691099

    Phone: (618) 641-5803

    Fax: (618) 607-5116

    Type: Mailing

  • 2400 HOSPITAL DR

    SUITE 340

    BOSSIER CITY, LA 711112385

    Phone: (318) 747-2277

    Fax: (318) 747-2217

    Type: Location

  • 777 HEMLOCK ST

    MACON, GA 312012102

    Phone: (478) 633-6272

    Fax: (478) 633-6269

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $319.

Total Amount is formed as General ($319) + Research ($0) + Ownership ($0) = $319.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABIOMED ($225).

Total Amount

$319

General + Research + Ownership

Payments

8

Total payment records

General Amount

$319

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-06-14

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
I20220614001595INurse PractitionerGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes8348$0
99291Critical care, first 30-74 minutes4422$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2922$0
View full utilization report →

Insurance plans in this area (ZIP 62269)

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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: 9638076730View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineNC
Physician AssistantGA
-GA
N E U R O L O G YGA
Gynecological OncologyLA
General SurgeryGA
General SurgeryGA
-GA
Cardiovascular Disease (Cardiology), Internal MedicineGA
Orthopedic SurgeryGA

Reviews

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Frequently asked questions

How do I look up MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) by NPI?
Use NPI 1255763173 when you need to reference MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) in forms, claims, or directories.
Is MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.). Clinical services aligned with this taxonomy classification.
Where is MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.)'s primary listing?
We display O Fallon, Illinois because that is what the record indicates for MRS. LAURA MICHELLE MAHAFFEY (A.C.N.P.).
What if O Fallon, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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