Letitia Nicole Quast-Wilson, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

71004571A Issued in IN

Practice address

301 Wabash Ave
Mattoon, IL 61938-4417

Phone

(765) 404-4071

NPI assigned

Jun 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

State licenses

Interoperability endpoints

• Direct secure messaging: letitia.quastwilson.p31@direct.fhn-fqhc.nextgenshare.com

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788825600000",
    "number": "1073951869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 WABASH AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384417",
            "telephone_number": "765-404-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 WABASH AVE",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384417",
            "telephone_number": "765-404-4071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "938 Mezzanine Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479058641",
            "country_code": "US",
            "telephone_number": "765-448-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUAST-WILSON",
        "first_name": "LETITIA",
        "middle_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-13",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "71004571A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041353072",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PROVIDER NUMBER",
            "identifier": "000000853874",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201205790",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lquastwilson@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "938 Mezzanine Dr Ste B",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Ann Prince, NP
• Kimberly Lynn Pruemer, APRN
• Jerome Przystup, B.A.
• Chelsea Caye Pugh
• Ahmad Qamar, MD
• Jan Michael Dulalas Racoma, M.D.
• Hannah Elizabeth Radnitzer
• Lindsey Danielle Rahn, FNP
• Shannon Rahn, BA
• Gursher Singh Rathore, MD

• Advanced Practice Midwife in Mattoon, IL
• Providers in Mattoon, IL by specialty
• Advanced Practice Midwife in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.