Margie Therese Landrum, CRNA MSN
Individual provider Active NPI Registered Nurse · Vandalia, IL
NPI 1508967613 · NPPES record last updated Sep 11, 2025
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(3) exclusion effective Jul 20, 2009.
Key facts
- NPI
- 1508967613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- Practice address
- 650 W Taylor St
Vandalia, IL 62471-1227 - Phone
- (618) 283-1232
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041246240 | IL | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid West Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | IL | Yes | |
| Certified Registered Nurse Anesthetist | 367500000X | IL |
Addresses
Primary practice location
650 W Taylor St
Vandalia, IL 62471-1227
Mailing address
1240 Finley Ave
Mt Zion, IL 62549-1019
Phone (217) 864-4717
Other providers in Vandalia, IL
- Tanea L Kinkead
- Alicia Brianne Kniepkamp
- Nicole Kough
- Matthew Earl Labertew
- Rebecca Amelia Lambert
- Deidre Langston
- Michael Donald Lask
- Lean on Me Caregiving
- Anita Sue Lidy
- Elizabeth Lohman
All providers in Vandalia, IL · Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2025. 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.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.