Angelina M Leitschuh, NP
Individual provider Active NPI Family Nurse Practitioner · Wood River, IL
NPI 1508343161 · NPPES record last updated Jul 23, 2026
Key facts
- NPI
- 1508343161
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209017871 (IL)
- Practice address
- 1853 Vaughn Rd
Wood River, IL 62095-1861 - Phone
- (618) 467-1580
- Fax
- (618) 467-1581
- NPI assigned
- Jul 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Southern Illinois University School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tauc Il PC
Total Access Urgent Care PC
Practice addresses (Care Compare)
1103 Central Park Dr
O Fallon, IL 62269-1770
Phone (618) 215-5703
400 Beltline Rd
Collinsville, IL 62234-4405
Phone (618) 215-5703
9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 0
Merit-based Incentive Payment System (MIPS)
- Final score
- 42.87 of 100
- Quality
- 31.86
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 61.04
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, MO
- 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 |
|---|---|---|---|---|
| I20190424001714 | IL | Practitioner - Nurse Practitioner | 8921358763 | Reassigns benefits to 4 organizations |
| I20240628000473 | MO | Practitioner - Nurse Practitioner | 8921358763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Access Urgent Care, PC | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Osf Healthcare System | Current |
Accepting new patients | |
| Physicians Immediate Care North Chicago LLC | Current |
Accepting new patients | |
| Osf Healthcare System | Current | Accepting new patients | |
| Tauc Il, PC | Current |
Accepting new patients | |
| Total Access Urgent Care, PC | Current |
Accepting new patients |
Locations
4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000
400 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
404 Belt Line Rd
Collinsville, IL 62234
Phone (618) 215-5703
13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384
1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141
1711 W Highway 50
O Fallon, IL 62269
Phone (618) 206-5076
1103 Central Park Dr
O Fallon, IL 62269
Phone (618) 215-5703
9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740
1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950
13861 Manchester Rd
Wildwood, MO 63011
Phone (636) 220-9333
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209017871 | IL | |
| Family Nurse Practitioner | 363LF0000X | 209017871 | IL | Yes |
Addresses
Primary practice location
1853 Vaughn Rd
Wood River, IL 62095-1861
Mailing address
1853 Vaughn Rd
Wood River, IL 62095-1861
Phone (618) 467-1580
Other practice location 1
1181 S State Route 157 Ste 200
Edwardsville, IL 62025-3897
Phone (618) 628-8211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209017871 | Other | IL | IL STATE LICENSE |
Other names
- Angelina M Good
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aleitschuh315959@ewd.direct.hshs.org | Direct |
Other providers in Wood River, IL
- Jerseyville Pain Management Center, S.C.
- JKH Management, LLC
- Johnson'S Auditory Sales & Service, Inc.
- Johnson'S Auditory Sales & Service, Inc.
- Brandon Christopher Kopp
- Jennifer Melynne McAfee Maag
- Laura Ellen Malley
- Dillon Gene Manion
- Donald Edward Mayden
- Jami L. Mayhew
All providers in Wood River, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.