LAUREN ELAINE PETRY (NP) – Nurse Practitioner, NPI 1447702212

LAUREN ELAINE PETRY (NP) is a healthcare provider. based in Springfield, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 2007034599 (MO). The NPI Number for LAUREN ELAINE PETRY (NP) is 1447702212

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
LAUREN ELAINE PETRY (NP)
NPI
1447702212
Phone
(417) 269-5712
Address
PO BOX 4046
Enumeration Date
27 October 2016
Last Update Date
14 May 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148553700
Graduation Year
2016 (10 years ago)
PAC ID
4880963719
Group Practice PAC ID
7214392059
Professional Enrollment ID
I20241220002842
Address ID
OH432306336CO5055XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:9State licenses:2Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

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Provider Addresses for LAUREN ELAINE PETRY (NP)

  • Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg

    SPRINGFIELD, MO 658084046

    Phone: (417) 269-5712

    Fax: (417) 269-7567

    Type: Mailing

  • North Jefferson Avenue, Springfield, Greene County, Missouri, 65801, United States

    SPRINGFIELD, MO 658021917

    Phone: (417) 269-3915

    Fax: (417) 269-3913

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $400.

Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Neurocrine BioSciences, Inc. ($139).

Total Amount

$400

General + Research + Ownership

Payments

6

Total payment records

General Amount

$400

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

Latest reported date

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: 2024-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 9 Medicare enrollment records; no due dates published yet.

Enrollment records

9

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
I20170707001685INurse PractitionerMOTBD
I20230612001837INurse PractitionerKYTBD
I20230731002857INurse PractitionerILTBD
I20240402003157INurse PractitionerCOTBD
I20240710000488INurse PractitionerIATBD
I20240815002042INurse PractitionerFLTBD
I20240930001081INurse PractitionerMITBD
I20241212001769INurse PractitionerWATBD
I20241220002842INurse PractitionerOHTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 65808)

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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: 7214392059View full group profile
NameSpecialtyState
Nurse PractitionerMO
Nurse PractitionerMO
Geriatric Medicine, Internal MedicineKY
Nurse PractitionerIL
Nurse PractitionerKY
Nurse PractitionerIL
Nurse PractitionerKY
Geriatric MedicineKY

Reviews

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Frequently asked questions

Does LAUREN ELAINE PETRY (NP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — LAUREN ELAINE PETRY (NP) uses 1447702212.
Does the file indicate LAUREN ELAINE PETRY (NP) is practicing under active NPI?
Directory data currently reports LAUREN ELAINE PETRY (NP) as active.
What taxonomy line describes LAUREN ELAINE PETRY (NP)?
For research purposes, treat LAUREN ELAINE PETRY (NP) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What area does LAUREN ELAINE PETRY (NP) serve?
LAUREN ELAINE PETRY (NP)'s listing highlights Springfield, Missouri; more addresses can appear in NPPES.
Is the information about LAUREN ELAINE PETRY (NP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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