Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Emerald Skai Lassiter, PA-C

Individual provider Physician Assistant · NPI 1942911953

Emerald Skai Lassiter, PA-C is a Physician Assistant in Maryville, Illinois. Qualified in 2023, 3 years ago. Practices with Arizona Urology Specialists PLLC, a 83-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
3
Licensed in
IL, MO
In the registry since
2022
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone: (618) 288-0900
Fax: (314) 576-3514
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 326 Fountains Pkwy, Fairview Heights, IL 62208-2041 — (618) 277-3109
  • 3 Saint Elizabeth Blvd Ste 3200, O Fallon, IL 62269-1281 — (618) 277-3109
  • 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 — (314) 567-6071

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085012264 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 2026017186 (MO)

Record details

NPI number1942911953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESJune 30, 2026
Certification dateJune 30, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Arizona Urology Specialists Pllc — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Maryville