LAUREN MARIE PINGSTERHAUS PA-C
NPI 1255218483
Physician Assistant in Mount Vernon, IL

Active since August 19, 2025PECOS Enrolled
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-4600 Get Directions Write a Review

NPPES record last updated: August 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lauren Marie Pingsterhaus Pa-c NPPES

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

LAUREN MARIE PINGSTERHAUS PA-C (NPI 1255218483) is an individual physician assistant in Mount Vernon, Illinois and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS and is a graduate of Southern Illinois University School Of Medicine (2025).

NPPES Registry Identity

NPI1255218483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN MARIE PINGSTERHAUSCredential: PA-C
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address1101 E Grand Ave Apt D12Carbondale, IL 62901-3531 · (618) 541-7430
Sole ProprietorYes
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2025
Enumeration DateAugust 19, 2025
NPPES CertifiedAugust 19, 2025
NPI 1255218483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Lauren Marie Pingsterhaus Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5597254508
PECOS Enrollment IDI20251030000504
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Emergency Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Social Worker (Clinical)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Social Worker (Clinical)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY, DEPARTMENT OF PATHOLOGY
MOUNT VERNON, IL 62864
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Nurse Anesthetist, Certified Registered
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255218483, enumerated as an "individual" on August 19, 2025.

The provider is located at 1 GOOD SAMARITAN WAY MOUNT VERNON, IL 62864 and the phone number is (618) 899-4600.

Physician Assistant with taxonomy code 363A00000X.