Active NPI
Lanny E Stiles, DO
- Child & Adolescent Psychiatry Physician
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 036-105941
- Practice address
- 927 Broadway St
Quincy, IL 62301-2719 - Phone
- (217) 224-4453
- Fax
- (217) 224-9383
- NPI assigned
- Oct 4, 2006
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 036-105941 | IL | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 036-105941 | IL | Primary |
Addresses
Primary practice location
927 Broadway St
Quincy, IL 62301-2719
Mailing address
1005 Broadway St
Quincy, IL 62301-2834
Phone (217) 223-8400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lstiles20821@blessing.medalliesdirect.net | Direct |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1967
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
927 Broadway St
Quincy, IL 62301-2719
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-105941 | IL | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blessing Hospital | Current | Accepting new patients | |
| West Central Pathology Specialists, S.C. | Current | Accepting new patients | |
| Blessing Hospital | Current | Accepting new patients | |
| Quincy Clinical Laboratory Services SC | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients | |
| Board of Trustees of Southern Illinois University | Current | Accepting new patients |
Locations
1005 Broadway St
Quincy, IL 62301
927 Broadway St
Ste 331
Quincy, IL 62301
Phone 2172244453 ext. 4553
520 N 4th St
Springfield, IL 62702
Phone (217) 757-8100
Interoperability endpoints
- lannystiles@bcs.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Quincy, IL
- NPI 1114471737
-
dba Siu Center for Family Medicine
- Primary Care Clinic/Center
- Springfield, IL
- NPI 1396097960
-
dba SIU Center for Family Medicine - Care-A-Van
- Federally Qualified Health Center (FQHC)
- Carbondale, IL
- NPI 1568210425
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1114773272
-
- Anatomic Pathology & Clinical Pathology Physician
- Quincy, IL
- NPI 1083895452
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1508951781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1005 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012834",
"telephone_number": "217-223-8400",
"fax_number": "217-277-3960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "927 BROADWAY ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623012719",
"telephone_number": "217-224-4453",
"fax_number": "217-224-9383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STILES",
"first_name": "LANNY",
"middle_name": "E",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036-105941",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IL",
"license": "036-105941",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lstiles20821@blessing.medalliesdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "927 Broadway St",
"city": "Quincy",
"state": "IL",
"country_code": "US",
"postal_code": "623012719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.