KAYLA ANN PRYOR APRN
NPI 1093345415
Nurse Practitioner - Family in East Saint Louis, IL

Active since January 24, 2020PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2001 STATE ST, EAST SAINT LOUIS, IL 62205(618) 271-0204 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 21, 2026, Feb 7, 2024, Jan 24, 2020 (3 updates tracked since 2020).

About Kayla Ann Pryor Aprn NPPES

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

KAYLA ANN PRYOR APRN (NPI 1093345415) is an individual family provider in East Saint Louis, Illinois, licensed in Illinois (209020484) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Ssm Health St Mary's Hospital -centralia, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093345415
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKAYLA ANN PRYORCredential: APRN
Location Address2001 STATE STEast Saint Louis, IL 62205-1803
Mailing Address102 South Washington StreetBartelso, IL 62218 · (618) 363-6597
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 24, 2020
Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1093345415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209020484
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 277003703 (IL)
2001 STATE ST, East Saint Louis, IL 62205

Secondary Practice Locations 3

Location 1644 N 2nd St Ste 1Breese, IL 62230-1614 · Phone (618) 972-1568 · Fax (618) 205-3561
Location 2102 South Washington streetBartelso, IL 62218 · Phone (618) 363-6597
Location 37348 State Route 162Troy, IL 62294-3367 · Phone (618) 972-1568 · Fax (618) 205-3561

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kayla Ann Pryor 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 ID6608299318
PECOS Enrollment IDI20200713003228
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.

Medicare Billing Reassignments

10

Medicare enrollment records show Kayla Pryor reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
2001 STATE ST
East Saint Louis, IL 62205
  • Reassigned Medicare billing, Illinois enrollment
  • 164 clinicians in this Medicare group
Internal Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 329 clinicians in this Medicare group
Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 111 clinicians in this Medicare group
Emergency Medicine
4500 MEMORIAL DR
Belleville, IL 62226
  • Reassigned Medicare billing, Illinois enrollment
  • 982 clinicians in this Medicare group
Emergency Medicine
1512 N GREEN MOUNT RD
O Fallon, IL 62269
  • Reassigned Medicare billing, Illinois enrollment
  • 119 clinicians in this Medicare group
Emergency Medicine
6800 IL 162
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 124 clinicians in this Medicare group
General Practice
6810 STATE ROUTE 162, SUITE 215
Maryville, IL 62062
  • Reassigned Medicare billing, Illinois enrollment
  • 145 clinicians in this Medicare group
Emergency Medicine
400 N CALDWELL ST
Staunton, IL 62088
  • Reassigned Medicare billing, Illinois enrollment
  • 121 clinicians in this Medicare group
Emergency Medicine
400 NORTH PLEASANT AVENUE
Centralia, IL 62801
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
Emergency Medicine
605 N 12TH ST
Mount Vernon, IL 62864
  • Reassigned Medicare billing, Illinois enrollment
  • 81 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
149 services143 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
118 services114 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
20 services19 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
17 services16 patients

Hospital Affiliations CMS Care Compare

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

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62205 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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost94.69

Other Providers at the Same Location NPPES 13

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

Nurse Practitioner (Acute Care)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Pediatrics
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Clinic/Center (Federally Qualified Health Center (FQHC))
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Family Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Emergency Medicine
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner
2001 STATE ST
EAST SAINT LOUIS, IL 62205
Nurse Practitioner (Family)
2001 STATE ST
EAST SAINT LOUIS, IL 62205

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 Kayla Pryor's NPI number?

The NPI number for Kayla Pryor is 1093345415. It was assigned to this individual provider in the NPPES registry on January 24, 2020.

Where is Kayla Pryor located?

Kayla Pryor practices at 2001 State St, East Saint Louis, IL 62205. The listed phone number is (618) 271-0204.

What is Kayla Pryor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kayla Pryor enrolled in Medicare?

Yes. Kayla Pryor 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.

Which organizations bill Medicare for Kayla Pryor's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kayla Pryor reassigns Medicare benefits to 10 organizations: Southern Illinois Healthcare Foundation, Inc. (East Saint Louis, IL), Cep America-Illinois Hospitalists, LLP (Belleville, IL), Emergency Services Midwest Sc (Belleville, IL), Cepamerica Illinois LLP (Belleville, IL), Vituity - Illinois Auc LLP (O Fallon, IL) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kayla Pryor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kayla Pryor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Kayla Pryor 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 Kayla Pryor affiliated with any hospitals?

According to CMS data, Kayla Pryor is affiliated with Ssm Health St Mary's Hospital -Centralia.

When was this NPI record last updated?

The NPPES record for Kayla Pryor was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.