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

Mrs. Lauren Kathryn Sidwell, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1720629470

Mrs. Lauren Kathryn Sidwell, FNP-BC is a Nurse Practitioner in Maryville, Illinois. Qualified in 2018, 8 years ago. Practices with Anderson Medical Group LLC, a 139-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2019
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

6812 State Route 162 Ste 200
Maryville, IL 62062-8562
Phone: (618) 288-0900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12855 N 40 Dr Ste 375, Saint Louis, MO 63141-8657 — (314) 567-6071

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209018891 (IL)

Record details

NPI number1720629470
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedOctober 3, 2019
Last updated in NPPESOctober 3, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Anderson Medical Group Llc — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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