MS. PAULA LYNN VAUGHN ACNP NPI 1679823371

NPI Information

  • NPI: 1679823371
  • Provider Name: MS. PAULA LYNN VAUGHN, ACNP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4901 FOREST PARK AVE
    DIV SURG ACCS, STE 340
    SAINT LOUIS, MO
    ZIP 63108
  • Phone: (314) 362-5298

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NPI Details

MS. Paula Lynn Vaughn, ACNP is an acute care nurse practitioner in Saint Louis, MO with 12 years of experience. MS. Paula Lynn Vaughn, ACNP NPI is 1679823371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4901 FOREST PARK AVE
DIV SURG ACCS, STE 340
SAINT LOUIS, MO
ZIP 63108-495
Phone: (314) 362-5298
Fax: (888) 824-2176

The NPI 1679823371 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Removal of tissue from wound, each additional 20.0 sq cm (HCPCS:97598)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)

The enumeration date for this NPI number is 9/11/2012 and was last updated on 4/25/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute Care2013004690MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1429174204MEDICAIDMISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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