LAURA TILLMAN C.N.P.
NPI 1427475706
Nurse Practitioner - Pediatrics in Saint Paul, MN

Active since March 25, 2014PECOS EnrolledAccepts Medicare Assignment
200 UNIVERSITY AVE E, SAINT PAUL, MN 55101(651) 578-5631 Get Directions Write a Review

NPPES record last updated: October 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Laura Tillman C.n.p. NPPES

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

LAURA TILLMAN C.N.P. (NPI 1427475706) is an individual pediatrics provider in Saint Paul, Minnesota, licensed in Minnesota (R 190665-3) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1427475706
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameLAURA TILLMANCredential: C.N.P.
Location Address200 UNIVERSITY AVE ESaint Paul, MN 55101-2507
Mailing Address200 University Ave ESaint Paul, MN 55101-2507
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMarch 25, 2014
Last NPPES UpdateOctober 16, 2014
✔ NPI 1427475706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in MN · R 190665-3
200 UNIVERSITY AVE E, Saint Paul, MN 55101

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

Laura Tillman C.n.p. 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 ID3072814052
PECOS Enrollment IDI20151216001222
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 Reassignment

Medicare enrollment records show Laura Tillman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
200 EAST UNIVERSITY AVE
St. Paul, MN 55101
  • Reassigned Medicare billing, Minnesota enrollment
  • Medicare enrollment name: Gillette Childrens Specialty Healthcare
  • 304 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

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.

Social Worker (Clinical)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Pediatrics (Pediatric Infectious Diseases)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Physician Assistant
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Pediatrics)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Dietitian, Registered
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Registered Nurse (Registered Nurse First Assistant)
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101
Orthopaedic Surgery
200 UNIVERSITY AVE E
SAINT PAUL, MN 55101

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 Tillman's NPI number?

The NPI number for Laura Tillman is 1427475706. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Laura Tillman located?

Laura Tillman practices at 200 University Ave E, Saint Paul, MN 55101. The listed phone number is (651) 578-5631.

What is Laura Tillman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Laura Tillman enrolled in Medicare?

Yes. Laura Tillman 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 organization bills Medicare for Laura Tillman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Tillman reassigns Medicare benefits to Gillette Children's Specialty Healthcare (St. Paul, MN). The 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 Laura Tillman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Tillman was last updated on October 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.