Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

LAURA R KIDD P.A.
NPI 1396842480
Physician Assistant in Carbondale, IL

Active since September 20, 2006PECOS Enrolled
409 W OAK ST, CARBONDALE, IL 62901(618) 529-4455(618) 351-1287 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 13, 2026, Jul 21, 2022, Dec 28, 2020 and 4 more (7 updates tracked since 2017).

About Laura R Kidd P.a. NPPES

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

LAURA R KIDD P.A. (NPI 1396842480) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085.002750) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1396842480
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAURA R KIDDCredential: P.A.
Location Address409 W OAK STCarbondale, IL 62901-1414
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Fax(618) 351-1287
Sole ProprietorNo
Medical School CMSSouthern Illinois University School Of MedicineGraduated 2003
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 13, 20267 updates tracked since enumeration
NPPES CertifiedJuly 13, 2026
NPI 1396842480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in IL · 085.002750
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.

409 W OAK ST, Carbondale, IL 62901

Other Names 1

Former Name (1)Laura R Willenborg P.a.

Secondary Practice Locations 3

Location 13905 W Ernestine DrMarion, IL 62959-5800 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 2217 S Park Ave Ste 2Herrin, IL 62948-3611 · Phone (618) 529-4455 · Fax (618) 351-1287
Location 3100 Dr Warren Tuttle DrHarrisburg, IL 62946-2718 · Phone (618) 529-4455 · Fax (618) 351-1287

Other Identifiers 1

Other085-002750IL · Physician Assistant License

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

Laura R Kidd P.a. 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 ID3476550385
PECOS Enrollment IDI20080923000275
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

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Memorial Hospital Of Carbondale

Acute Care Hospitals · Carbondale, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140164
Location405 W JacksonCarbondale, IL 62901 · Jackson County
Emergency services Birthing friendly

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Franklin Hospital

Critical Access Hospitals · Benton, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141321
Location201 Bailey LaneBenton, IL 62812 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$21.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers22 claims22 services$5.46 avg. paid by Medicare
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
4 suppliers28 claims28 services$118.31 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers12 claims12 services$207.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$38.23 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 20

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

Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Thoracic Surgery (Cardiothoracic Vascular Surgery)
409 W OAK ST
CARBONDALE, IL 62901
Physician Assistant
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Interventional Cardiology)
409 W OAK ST
CARBONDALE, IL 62901
Internal Medicine (Cardiovascular Disease)
409 W OAK ST
CARBONDALE, IL 62901
Nuclear Medicine (Nuclear Cardiology)
409 W OAK ST
CARBONDALE, IL 62901

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 Laura Kidd's NPI number?

The NPI number for Laura Kidd is 1396842480. It was assigned to this individual provider in the NPPES registry on September 20, 2006. The provider is also known as Laura R Willenborg P.A..

Where is Laura Kidd located?

Laura Kidd practices at 409 W Oak St, Carbondale, IL 62901. The listed phone number is (618) 529-4455.

What is Laura Kidd's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Laura Kidd enrolled in Medicare?

Yes. Laura Kidd 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.

Is Laura Kidd affiliated with any hospitals?

According to CMS data, Laura Kidd is affiliated with Herrin Hospital, Memorial Hospital Of Carbondale, Heartland Regional Medical Center, Harrisburg Medical Center and Franklin Hospital.

When was this NPI record last updated?

The NPPES record for Laura Kidd was last updated on July 13, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.