Lori Effland, NP
NPI 1245203272 · Nurse Practitioner · Saint Louis, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lori Effland, NP is a Nurse Practitioner provider in Saint Louis, MO (NPI 1245203272).
Provider details
- NPI number
- 1245203272
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 2000167712 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
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
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
429 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 | 327 | $82 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 59 | $7 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 25 | $54 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 18 | $13 |
Typical Medicare-allowed amounts for these services range $7–$82 (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 · 45 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 411 | 141 |
| Apixabanbrand: Eliquis | 348 | 99 |
| Furosemide | 317 | 100 |
| Spironolactone | 217 | 84 |
| Atorvastatin Calcium | 173 | 69 |
| Clopidogrel Bisulfatebrand: Clopidogrel | 156 | 63 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$173 across 1 record (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
Additional practice locations (2)
- 3015 N Ballas RdSaint Louis, MO 63131-2329Phone: (314) 996-5772
- 5401 Veterans Memorial PkwySuite 101Saint Peters, MO 63376-1680Phone: (636) 939-4820Fax: (636) 939-0014
Registry dates
- Enumerated
- 2006-02-09
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Frequently asked questions
- What is Lori Effland's NPI number?
- Lori Effland's National Provider Identifier (NPI) is 1245203272, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lori Effland's specialty?
- Lori Effland is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lori Effland located?
- Lori Effland's practice location on file with NPPES is 3023 N Ballas Rd Ste 200d, Saint Louis, MO 63131-2328.
- What is Lori Effland's phone number?
- The practice phone number listed in the NPPES registry for Lori Effland is (314) 996-7272.
- Does Lori Effland accept Medicare?
- Lori Effland is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lori Effland's NPI active?
- Yes — Lori Effland's NPI (1245203272) is active in the NPPES registry as of the last update on 2025-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.