Individual provider Active NPI

Leslie Wright, FNP-C

  • Family Nurse Practitioner
  • Marion, IL
National Provider Identifier
1043077365
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
363L00000X Issued in IL
Practice address
8333 Express Dr. Suite D
Marion, IL 62959
Phone
(618) 969-8683
Fax
(618) 969-8689
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 363L00000X IL Primary

Addresses

Primary practice location

8333 Express Dr. Suite D
Marion, IL 62959

Mailing address

8333 Express Dr Ste 0
Marion, IL 62959-6474
Phone (618) 969-8683

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240705000154 IL Practitioner - Nurse Practitioner 0840734596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

1104 W Main St
Benton, IL 62812-1565
Phone (618) 439-3399

4101 N Water Tower PL
Mount Vernon, IL 62864-6296
Phone (618) 244-4313

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
363L00000XILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Illinois Crossroads Inc CurrentSince Dec 6, 2022 Accepting new patients
Deaconess Illinois Crossroads Inc CurrentSince Sep 30, 2024 Accepting new patients

Locations

4101 N Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-4313

Interoperability endpoints

  • Direct secure messaging: leslie.wright.1@27782.direct.athenahealth.com
  • Direct secure messaging: lwright421527@direct.deaconess.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1043077365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8333 EXPRESS DR STE 0",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596474",
            "telephone_number": "618-969-8683",
            "fax_number": "618-969-8689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 EXPRESS DR. SUITE D",
            "city": "MARION",
            "state": "IL",
            "postal_code": "62959",
            "telephone_number": "618-969-8683",
            "fax_number": "618-969-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "LESLIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "363L00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

Verify at the official NPI Registry.