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Active NPI 1396842480 Individual Practitioner Female Practitioner

Laura R Kidd , PA

Physician Assistant • Carbondale, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Laura Kidd, PA is a certified Physician Assistant practicing in Carbondale, IL. With approximately 23 years of clinical experience since graduating from Southern Illinois University School Of Medicine in 2003, Laura Kidd delivers high-quality medical care to the local community at 409 W OAK ST.

Laura Kidd maintains professional affiliations with Southern Illinois Medical Services Nfp, Select Physical Therapy Holdings Inc, Southern Illinois Hospital Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include urinalysis, manual test, dialysis services, 2-3 physician visits per month (20 years or older), subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

409 W Oak St

Carbondale, IL 629011414

Telephone 6185294455
Fax 6183511287
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Southern Illinois University School Of Medicine

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Carbondale, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
23 Yrs +10.8 yrs vs City Avg
City Avg: 12.2 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
71 Specialists

Practicing in Carbondale, IL (4958 Statewide)

Telehealth Adoption Rate
4.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kidd (23 Years) 23 Yrs
Carbondale Specialty Average (12.2 Years) 12.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
81002 Urinalysis, manual test
21 14 $17.00 $3.41

Medical Specialties & State Licenses

CMS Verified: 2026-08-04
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.002750

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Physician Assistant License
085-002750 (IL)

Hospital & Practice Group Affiliations

Southern Illinois Medical Services Nfp

502 W Saint Louis St, West Frankfort, IL 628961968

Phone: 6189373400

Southern Illinois Medical Services Nfp

502 W Saint Louis St, West Frankfort, IL 628961968

Phone: 6189373400

Southern Illinois Hospital Services

2553 Ken Gray Blvd, W Frankfort, IL 628964174

Phone: 6189323937

Select Physical Therapy Holdings Inc

326 E Main St, West Frankfort, IL 628962402

Phone: 6189376200

Southern Illinois Hospital Services

2553 Ken Gray Blvd, West Frankfort, IL 628964174

Phone: 6189322155288

Select Physical Therapy Holdings Inc

1104 W Main St, Benton, IL 628121565

Phone: 6184393399

Secondary Practice Locations

100 Dr Warren Tuttle Dr

Harrisburg, IL 629462718

Phone: 6185294455

3905 W Ernestine Dr

Marion, IL 629595800

Phone: 6185294455

217 S Park Ave Ste 2

Herrin, IL 629483611

Phone: 6185294455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Sandeep Banga , MD

Internal Medicine - Interventional Cardiology

NPI 1003266149

Doctor of Medicine (M.D.)

Meredith Flamm , PA-C

Physician Assistant

NPI 1003735838

Physician Assistant (Certified)

Dr. Cesar Coello , MD

Internal Medicine - Cardiovascular Disease

NPI 1003997560

Doctor of Medicine (M.D.)

Nathaniel Clark , PA

Physician Assistant

NPI 1063660074

Physician Assistant

Dr. Arslan Mirza , MD

Internal Medicine - Interventional Cardiology

NPI 1073928776

Doctor of Medicine (M.D.)

Dr. Vadzim Chyzhyk , MD

Internal Medicine - Cardiovascular Disease

NPI 1093128720

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location August 04, 2026

Registered at 409 W OAK ST, CARBONDALE, IL 629011414 (Tel: 6185294455)

📍
Updated Business Mailing Address August 04, 2026

Registered at PO BOX 3988, CARBONDALE, IL 629023988 (Tel: 6184575200)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2018

Physician Assistant (License #085.002750 in IL)

NPI Profile Active July 26, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 26, 2017

Registered at 305 W JACKSON ST STE 200, CARBONDALE, IL 629011474 (Tel: (618) 536-6621)

📍
Updated Business Mailing Address July 26, 2017

Registered at 305 W JACKSON ST STE 200, CARBONDALE, IL 629011474 (Tel: (618) 536-6621)

👤
Provider Name / Credentials Updated July 26, 2017

Recorded as LAURA KIDD, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 26, 2017

Physician Assistant (License #085002750 in IL)

NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2009

Registered at 1350 CEDAR CT, CARBONDALE, IL 629015336 (Tel: 6185292955)

📍
Updated Business Mailing Address January 15, 2009

Registered at 1350 CEDAR CT, CARBONDALE, IL 629015336 (Tel: 6185292955)

👤
Provider Name / Credentials Updated January 15, 2009

Recorded as LAURA KIDD, P.A.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Physician Assistant (License #085002750 in IL)

🟢
Initial NPI Registration & Enumeration September 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1396842480
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2006
Last Update: August 04, 2026
Sole Proprietor: No

Mailing Address

Po Box 3988

Carbondale, IL 629023988

Phone: 6184575200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.