Individual provider Active NPI

Linda Idean Rich, APRN

  • Nurse Practitioner
  • Granite City, IL
National Provider Identifier
1386892784
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.034190 Issued in IL
Practice address
2861 Madison Ave
Granite City, IL 62040-3614
Phone
(618) 709-7723
NPI assigned
Aug 28, 2008
Last updated
Dec 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.034190 IL Primary

Addresses

Primary practice location

2861 Madison Ave
Granite City, IL 62040-3614

Mailing address

4051 Kathy Dr Apt 4
Granite City, IL 62040-4515
Phone (928) 706-2569

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120620000524 TX Practitioner - Nurse Practitioner 8123282225 Reassigns benefits to 1 organization
I20260123002229 IL Practitioner - Nurse Practitioner 8123282225 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Granite City Urgent Care Walk-in ClinicGroup PAC ID 1951658285, 4 clinicians

Practice addresses (Care Compare)

2861 Madison Ave
Granite City, IL 62040-3614
Phone (618) 709-7723

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209.034190ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alton Urgent Care Walk in Clinic Company CurrentSince Dec 15, 2025 Accepting new patients
Belleville Urgent Care Walk-in Clinic CurrentSince Dec 15, 2025 Accepting new patients
Wood River Urgent Care and Walk in Clinic Inc Nurse Practitioner CurrentSince Dec 15, 2025 Accepting new patients
Waterloo Urgent Care Walk in Clinic Company CurrentSince Dec 15, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive Health Care Facility CurrentSince Dec 9, 2024 Accepting new patients
Granite City Urgent Care Walk-in Clinic CurrentSince Dec 15, 2025 Accepting new patients
DHHS PHS Naihs Chinle Comprehensive CurrentSince Dec 9, 2024 Accepting new patients
DHHS IHS Phoenix Area Past Accepting new patients
Sea-Mar Community Health Center Past Accepting new patients

Locations

1417 Washington Ave
Alton, IL 62002
Phone (618) 260-0320

2801 W Main St
Belleville, IL 62226
Phone (618) 234-3053

2861 Madison Ave
Granite City, IL 62040
Phone (618) 709-7723

907 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 350-0200

211 Madison Ave
Wood River, IL 62095
Phone (618) 709-7723

14671 Telegraph Rd
Redford, MI 48239
Phone (313) 387-2100

Interoperability endpoints

  • Direct secure messaging: linda.rich@791475804176388.direct.elationemr.com
  • Direct secure messaging: lrich855256@direct.multicare.org

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1386892784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4051 KATHY DR APT 4",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404515",
            "telephone_number": "928-706-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 MADISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403614",
            "telephone_number": "618-709-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "LINDA",
        "middle_name": "IDEAN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.034190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Granite City, IL

Sources for this page

Verify at the official NPI Registry.