Laurel Sexton, NP-C
NPI 1205405883 · Family Nurse Practitioner · Quincy, IL
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Laurel Sexton, NP-C is a Family Nurse Practitioner provider in Quincy, IL (NPI 1205405883).
Provider details
- NPI number
- 1205405883
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- License
- 209023399 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
92 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 92 | $80 |
Typical Medicare-allowed amounts for these services range $80–$80 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Topiramate | 127 | 26 |
| Metformin Hclbrand: Metformin Hcl Er | 80 | 21 |
| Tirzepatidebrand: Mounjaro | 67 | 12 |
| Metformin Hcl | 61 | 12 |
| Pantoprazole Sodium | 34 | — |
| Semaglutidebrand: Ozempic | 28 | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$104 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-06-18
- Last updated
- 2023-10-06
- Certified
- 2023-10-06
Frequently asked questions
- What is Laurel Sexton's NPI number?
- Laurel Sexton's National Provider Identifier (NPI) is 1205405883, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Laurel Sexton's specialty?
- Laurel Sexton is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Laurel Sexton located?
- Laurel Sexton's practice location on file with NPPES is 1107 College Ave, Quincy, IL 62301-2600.
- What is Laurel Sexton's phone number?
- The practice phone number listed in the NPPES registry for Laurel Sexton is (217) 214-5800.
- Does Laurel Sexton accept Medicare?
- Laurel Sexton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Laurel Sexton's NPI active?
- Yes — Laurel Sexton's NPI (1205405883) is active in the NPPES registry as of the last update on 2023-10-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.