Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Laura E. McKinzie, NP

Individual provider Nurse Practitioner · NPI 1922348002

Laura E. McKinzie, NP is a Nurse Practitioner in Maryville, Illinois. Qualified in 2012, 14 years ago. Practices with Musick Dermatology and Advanced Clinical Spa LLC, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
14
Licensed in
IL
In the registry since
2013
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

6812 State Route 162 Ste 21
Maryville, IL 62062-8553
Phone: (618) 288-7855
Fax: (618) 288-7866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-010209 (IL)

Record details

NPI number1922348002
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 26, 2013
Last updated in NPPESJune 22, 2022
Certification dateJune 22, 2022
Mailing address4955 S State Route 159, Unit 1, Glen Carbon, IL 62034-1907

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Musick Dermatology And Advanced Clinical Spa Llc — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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