Lisa K Feather, PA-C
Individual provider Active NPI Physician Assistant · Wayne City, IL
NPI 1477554228 · NPPES record last updated Feb 26, 2026
Key facts
- NPI
- 1477554228
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-000778 (IL)
- Practice address
- 1601 W Robinson
Wayne City, IL 62895-9483 - Phone
- (618) 895-3181
- Fax
- (618) 895-3035
- NPI assigned
- Aug 2, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050209000357 | IL | Practitioner - Physician Assistant | 2062463813 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-000778 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Illinois Specialty Clinic, Inc. | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current |
Accepting new patients | |
| Deaconess Illinois Specialty Clinic, Inc. | Physician Assistant | Current |
Accepting new patients |
| Good Samaritan Regional Health Center | Current |
Accepting new patients | |
| Crossroads Physicians Corp | Physician Assistant | Past | Accepting new patients |
| Deaconess Illinois Clinic, Inc | Past | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
303 S Commercial St
Harrisburg, IL 62946
Phone (618) 767-6050
3333 W Deyoung St
Marion, IL 62959
Phone (618) 998-7020
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
209 Crossroads Pl
Ste 150
Mount Vernon, IL 62864
Phone (618) 244-6222
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-000778 | IL | Yes |
Addresses
Primary practice location
1601 W Robinson
Wayne City, IL 62895-9483
Mailing address
1601 W Robinson
Wayne City, IL 62895-9483
Phone (618) 895-3181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CE9335 | Other | IL | RR GROUP NUMBER |
| P00393085 | Other | IL | RR MEDICARE NUMBER |
Other providers in Wayne City, IL
- Bandys Apothecary Shops Inc
- Tiffany Blasdel
- Crossroads Physician Corp
- Deaconess Illinois Crossroads Inc
- Sherry Charlette Locey
- Kassi Dawn McCormick
- National Healthcare of Mt Vernon Inc
- National Healthcare of Mt Vernon Inc
- Village of Wayne City
All providers in Wayne City, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.