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LAURA BURTON
NPI 1417410200
Nurse Practitioner in Wood River, IL

Active since April 09, 2019Opted out of Medicare · through Aug 16, 2027
203 E FERGUSON AVE, WOOD RIVER, IL 62095(618) 254-2273 Get Directions Write a Review

NPPES record last updated: April 9, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Burton NPPES

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

LAURA BURTON (NPI 1417410200) is an individual nurse practitioner in Wood River, Illinois, licensed in Illinois (209017788) and active in the NPI registry since April 2019. She has opted out of Medicare through August 16, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417410200
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameLAURA BURTON
Location Address203 E FERGUSON AVEWood River, IL 62095-2001
Mailing Address203 E Ferguson AveWood River, IL 62095-2001 · (618) 254-2273
Phone(618) 254-2273
Sole ProprietorNo
Enumeration DateApril 9, 2019
✔ NPI 1417410200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209017788
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
203 E FERGUSON AVE, Wood River, IL 62095
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Laura Burton has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 16, 2021 through August 16, 2027.

Opt-Out Effective DateAugust 16, 2021
Opt-Out In Effect ThroughAugust 16, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62095 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.

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 Burton's NPI number?

The NPI number for Laura Burton is 1417410200. It was assigned to this individual provider in the NPPES registry on April 9, 2019.

Where is Laura Burton located?

Laura Burton practices at 203 E Ferguson Ave, Wood River, IL 62095. The listed phone number is (618) 254-2273.

What is Laura Burton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Laura Burton enrolled in Medicare?

No. Laura Burton has opted out of Medicare through August 16, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Laura Burton was last updated on April 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.