MRS. LAURA WILLOUGHBY (PMHNP-BC) – Child & Adolescent Psychiatric/Mental Health Registered Nurse, NPI 1639418262

MRS. LAURA WILLOUGHBY (PMHNP-BC) is a healthcare provider. based in Saint joseph, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 2013002944 (MO). The NPI Number for MRS. LAURA WILLOUGHBY (PMHNP-BC) is 1639418262

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
MRS. LAURA WILLOUGHBY (PMHNP-BC)
NPI
1639418262
Phone
(816) 364-4300
Address
902 EDMOND ST
Enumeration Date
1 February 2013
Last Update Date
7 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8163644300
Graduation Year
2012 (14 years ago)
PAC ID
8921246760
Group Practice PAC ID
0547161440
Professional Enrollment ID
I20130606000013
Address ID
MO645012762SA902XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:13State licenses:1Digital endpointsOther names

7,017 NURSE PRACTITIONER in MO

Provider Addresses for MRS. LAURA WILLOUGHBY (PMHNP-BC)

  • 902 EDMOND ST

    SUITE 203

    SAINT JOSEPH, MO 645012749

    Phone: (816) 364-4300

    Fax: (816) 279-8148

    Mailing address matches the actual address.

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 $183.

Total Amount is formed as General ($183) + Research ($0) + Ownership ($0) = $183.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($147).

Total Amount

$183

General + Research + Ownership

Payments

6

Total payment records

General Amount

$183

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2013-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (951 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
I20130606000013INurse PractitionerMO2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
99213Established patient office or other outpatient visit, 20-29 minutes14340$0
99214Established patient office or other outpatient visit, 30-39 minutes5728$0
View full utilization report →

Insurance plans in this area (ZIP 64501)

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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: 0547161440View full group profile
NameSpecialtyState
-MO
Clinical Social WorkerMO
-MO
Nurse PractitionerMO
Psychiatry, Internal MedicineMO
Nurse PractitionerMO
-MO
Nurse PractitionerMO
Addiction MedicineMO

Reviews

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Frequently asked questions

Can I cross-check MRS. LAURA WILLOUGHBY (PMHNP-BC) using NPI 1639418262?
NPI 1639418262 belongs to MRS. LAURA WILLOUGHBY (PMHNP-BC); compare other details if you need extra assurance.
Active or inactive — what applies to MRS. LAURA WILLOUGHBY (PMHNP-BC)?
You should see MRS. LAURA WILLOUGHBY (PMHNP-BC) as active in CMS-hosted NPPES data.
What kind of doctor is MRS. LAURA WILLOUGHBY (PMHNP-BC)?
MRS. LAURA WILLOUGHBY (PMHNP-BC) is associated with Child & Adolescent Psychiatric/Mental Health Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. LAURA WILLOUGHBY (PMHNP-BC)?
Directory geography for MRS. LAURA WILLOUGHBY (PMHNP-BC) centers on Saint Joseph, Missouri.
Does MRS. LAURA WILLOUGHBY (PMHNP-BC) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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