LAURA E. MCKINZIE (NP) – Nurse Practitioner, NPI 1922348002
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for LAURA E. MCKINZIE (NP)
6812 STATE ROUTE 162
SUITE 21
MARYVILLE, IL 620628553
Phone: (618) 288-7855
Fax: (618) 288-7866
Type: Mailing
4955 S STATE ROUTE 159
UNIT 1
GLEN CARBON, IL 620341907
Phone: (618) 288-7855
Fax: (618) 288-7866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 49 Open Payments records for all available years, with a total value of $1,029.
Total Amount is formed as General ($1,029) + Research ($0) + Ownership ($0) = $1,029.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: LEO Pharma Inc. ($171).
Total Amount
$1,029
General + Research + Ownership
Payments
49
Total payment records
General Amount
$1,029
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| LEO Pharma Inc. | $171 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $160 |
| E.R. Squibb & Sons, L.L.C. | $151 |
| UCB, Inc. | $98 |
| Lilly USA, LLC | $96 |
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: 2013-07-29
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130729000345 | I | Nurse Practitioner | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,077 | 163 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 265 | 200 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 260 | 204 | $0 |
| 11104 | Punch biopsy, first skin growth | 119 | 105 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 119 | 95 | $0 |
Insurance plans in this area (ZIP 62062)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | TX | |
| Physician Assistant | IL | |
| D E R M A T O L O G Y | IL |
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