LORI BETH HELMERS APRN
NPI 1063457794
Nurse Practitioner - Adult Health in O Fallon, IL

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
94.61/100
CMS Quality Rating
THREE SAINT ELIZABETH BLVD STE 2800, O FALLON, IL 62269(618) 233-6044(833) 973-4218 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 21, 2021, Mar 17, 2020, Oct 23, 2019 and 2 more (5 updates tracked since 2018).

About Lori Beth Helmers Aprn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LORI BETH HELMERS APRN (NPI 1063457794) is an individual adult health provider in O Fallon, Illinois, licensed in Illinois (209005778) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1063457794
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameLORI BETH HELMERSCredential: APRN
Location AddressTHREE SAINT ELIZABETH BLVD STE 2800O Fallon, IL 62269-1282
Mailing AddressThree Saint Elizabeth Blvd Ste 2800O Fallon, IL 62269-1282 · (618) 233-6044 · Fax (833) 973-4218
Fax(833) 973-4218
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 17, 2006
Last NPPES UpdateDecember 21, 20215 updates tracked since enumeration
NPPES CertifiedDecember 21, 2021
NPI 1063457794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in IL · 209005778
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 209.005778 (IL)
THREE SAINT ELIZABETH BLVD STE 2800, O Fallon, IL 62269

Other Identifiers 3

OtherQ70017Mercy
Other749778Healthlink
OtherP00320293Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lori Beth Helmers Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173536067
PECOS Enrollment IDI20060718000361
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
975 services736 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
108 services65 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
46 services46 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
32 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

St Joseph's Hospital

Critical Access Hospitals · Highland, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number141336
Location12866 Troxler AvenueHighland, IL 62249 · Madison County
Emergency services

Sparta Community Hospital

Critical Access Hospitals · Sparta, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141349
Location818 E BroadwaySparta, IL 62286 · Randolph County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.17
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier20 claims20 services$66.58 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Internal Medicine (Cardiovascular Disease)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Nurse Practitioner (Adult Health)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Internal Medicine (Interventional Cardiology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269
Nurse Practitioner (Gerontology)
THREE SAINT ELIZABETH BLVD STE 2800
O FALLON, IL 62269

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lori Beth Helmers's NPI number?

The NPI number for Lori Beth Helmers is 1063457794. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Lori Beth Helmers located?

Lori Beth Helmers practices at Three Saint Elizabeth Blvd Ste 2800, O Fallon, IL 62269. The listed phone number is (618) 233-6044.

What is Lori Beth Helmers's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Lori Beth Helmers enrolled in Medicare?

Yes. Lori Beth Helmers is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Lori Beth Helmers accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and UnitedHealthcare list Lori Beth Helmers as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Lori Beth Helmers affiliated with any hospitals?

According to CMS data, Lori Beth Helmers is affiliated with St Josephs Hospital, Hshs St Elizabeth's Hospital, St Joseph's Hospital and Sparta Community Hospital.

When was this NPI record last updated?

The NPPES record for Lori Beth Helmers was last updated on December 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.