LAURA ANNE HUGHES ANP
NPI 1528346475
Nurse Practitioner - Adult Health in Saint Louis, MO
NPI Status: Active since July 26, 2011
Contact Information
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 525-4137
- Individual
- Female
- Years of Experience 15
- Nurse Practitioner
- Adult Health
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About LAURA HUGHES
This page provides the complete NPI Profile along with additional information for Laura Hughes, a provider established in Saint Louis, Missouri with a medical specialization in Nurse Practitioner, focusing in adult health and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1528346475 assigned on July 2011. The practitioner's primary taxonomy code is 363LA2200X with license number 2011023082 (MO). The provider is registered as an individual and her NPI record was last updated 6 years ago.
- NPI
- 1528346475
- Provider Name
- LAURA ANNE HUGHES ANP
- Other Name
- LAURA RUFFNER NP
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 10010 KENNERLY RD SAINT LOUIS, MO 63128
- Location Phone
- (314) 525-4137
- Mailing Address
- 10010 KENNERLY RD SAINT LOUIS, MO 63128
- Mailing Phone
- (314) 525-4137
- Medical School Name
- OTHER
- Graduation Year
- 2011
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-26-2011
- Last Update Date
- 07-23-2019
- Code Navigator
A nurse practitioner (NP) like Laura Hughes is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Secondary Locations
- 12101 Woodcrest Executive Dr Suite 210
Saint Louis, MO 63141
(314) 317-0600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Adult Health
- Taxonomy Code
- 363LA2200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 2011023082
- License State
- MO
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Blue Advantage Bronze PPO? 202 - PPO
- Blue Advantage Bronze PPO? 203 - PPO
- Blue Advantage Bronze PPO? Standard - PPO
- Blue Advantage Gold PPO? 309 - PPO
- Blue Advantage Gold PPO? 604 - PPO
- Blue Advantage Gold PPO? Standard - PPO
- Blue Advantage Silver PPO? 204 - PPO
- Blue Advantage Silver PPO? 501 - PPO
- Blue Advantage Silver PPO? Standard - PPO
- Blue Preferred Bronze PPO? Standard - PPO
- Blue Preferred Gold PPO? Standard - PPO
- Blue Preferred Security PPO? 200 - PPO
- Blue Preferred Silver PPO? Standard - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
1528346475 | MEDICAID (05) | MO |
Medicare Participation & PECOS Enrollment Status
Laura Hughes is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Laura Hughes is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 1153563192
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20130805000263, I20241231002981
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Follow-up hospital inpatient care per day, typically 25 minutes
Follow-up hospital inpatient care per day, typically 35 minutes
Follow-up observation care per day, typically 25 minutes
Follow-up observation care per day, typically 35 minutes
Hospital discharge day management, more than 30 minutes
Hospital observation care on day of discharge
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
This service was performed 99 times for 44 patientsFollow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
This service was performed 42 times for 31 patientsFollow-up observation care is a daily service where your health progress is monitored for about 25 minutes. It's a routine check to ensure your treatment is effective and to adjust if necessary. It's a crucial part of your healthcare journey.
This service was performed 33 times for 26 patientsFollow-up observation care is a daily check-up service that lasts about 35 minutes. It involves monitoring your health progress after a treatment or procedure. The care team assesses your recovery and addresses any concerns or questions you may have.
This service was performed 18 times for 17 patientsHospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
This service was performed 39 times for 39 patientsHospital observation care on the day of discharge involves monitoring your health status to ensure stability before you leave. This includes assessing vital signs, response to treatment, and readiness for home care or rehabilitation.
This service was performed 52 times for 52 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.58 for a new patient copayment and $24.59 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 63128 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $86.32
- Minimum New Patient Price $55.65
- Maximum New Patient Price $169.38
- Average New Patient Copayment $21.58
- Minimum New Patient Copayment $13.91
- Maximum New Patient Copayment $42.34
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.37
- Minimum Established Patient Price $17.76
- Maximum Established Patient Price $137.92
- Average Established Patient Copayment $24.59
- Minimum Established Patient Copayment $4.44
- Maximum Established Patient Copayment $34.48
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Care Plan | 97% | 88 |
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan |
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Laura Hughes is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
SSM ST JOSEPH HOSPITAL WEST | 100 MEDICAL PLAZA LAKE SAINT LOUIS, MO 63367 | (636) 625-5200 | Acute Care Hospitals | |
AIKEN REGIONAL MEDICAL CENTER | 302 UNIVERSITY PARKWAY AIKEN, SC 29801 | (803) 641-5900 | Acute Care Hospitals |
Reviews for LAURA ANNE HUGHES ANP
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 5 | 2 | 8 | 3 | 4 | 6 | 4 | 7 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 5 | 4 | 8 | 6 | 4 | 12 | 4 | 14 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 5 + 4 + 8 + 6 + 4 + 1 + 2 + 4 + 1 + 4 + 24 = 65 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 65 = 5 | 5 |
The NPI number 1528346475 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DONALD A WITHROW MD
Pathology
(Anatomic Pathology & Clinical Pathology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
ALAN D SIMMS CRNA BS
Registered Nurse
10010 KENNERLY RD
ST ANTHONYS HOSPITAL
ST LOUIS, MO
ZIP 63128
STEVEN H NICHOLS MD
Pathology
(Anatomic Pathology & Clinical Pathology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
SOUTH COUNTY RADIOLOGISTS, INC
Radiology
(Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
SHEPHERD M ABRAMS M.D.
Radiology
(Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
JAD M GENNAOUI M.D.
Radiology
(Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
EDWARD W SZOKO M.D.
Radiology
(Diagnostic Radiology)
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. VENKATESWARA RAO DHARMAVARAPU MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. DEBORAH A OTT MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. DAVID W CHIEN MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
ERIC OSCAR APPELGREN MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. KRISHNA CHUNDURI MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. QUOC D DANG MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. JOSEPH M FORAND MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. JANE E CALDWELL MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. TIMOTHY F KURT MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. JAMES S CRISCIONE MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. REBECCA ANN APPELGREN MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. S. KRISHNA REDDY MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
DR. RANDAL E WALKER MD
Anesthesiology
10010 KENNERLY RD
SAINT LOUIS, MO
ZIP 63128
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1528346475, enumerated as an "individual" on July 26, 2011.
The provider is located at 10010 KENNERLY RD SAINT LOUIS, MO 63128 and the phone number is (314) 525-4137.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.
The provider might be accepting Accepts: Blue Cross and Blue Shield of Oklahoma, Medicare. Please consult your insurance carrier or call the provider to verify.
Laura Hughes is affiliated with: SSM ST JOSEPH HOSPITAL WEST and AIKEN REGIONAL MEDICAL CENTER.