Individual provider Active NPI

Leah Teichmiller, PA

  • Physician Assistant
  • Mattoon, IL
National Provider Identifier
1710433529
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085005898 Issued in IL
Practice address
1000 Health Center Dr Ste 107
Mattoon, IL 61938-4644
Phone
(217) 258-4096
Fax
(217) 238-5485
NPI assigned
Aug 31, 2016
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085005898 IL Primary

Addresses

Primary practice location

1000 Health Center Dr Ste 107
Mattoon, IL 61938-4644

Mailing address

PO Box 372
Attn Payer Insurance Credentialing
Mattoon, IL 61938-0372

Other practice location 1

611 W. Park St.
Ed
Urbana, IL 61801-2500
Phone (217) 383-3313

Other practice location 2

1104 W Evergreen Ave
Effingham, IL 62401-1710
Phone (217) 258-4096

Other names 1

  • Leah Stevens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, NC, SC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160923000624 IL Practitioner - Physician Assistant 8325335011 Reassigns benefits to 2 organizations
I20260326002897 MO Practitioner - Physician Assistant 8325335011 Reassigns benefits to 2 organizations
I20260508000126 NC Practitioner - Physician Assistant 8325335011 Reassigns benefits to 1 organization
I20260511002990 SC Practitioner - Physician Assistant 8325335011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians
Lifetime Redesign OT PLLCGroup PAC ID 6901272244, 2 clinicians
Integrated Senior Care PCGroup PAC ID 0648788323, 4 clinicians

Practice addresses (Care Compare)

1000 Health Ctr Dr
Mattoon, IL 61938-4644

101 Professional PLZ
Mattoon, IL 61938-9252
Phone (217) 238-3730

1104 W Evergreen Ave
Effingham, IL 62401-1710
Phone (217) 234-7000

12395 Olive Blvd
Suite 200
Saint Louis, MO 63141-5465
Phone (270) 993-4789

1303 W Evergreen Ave
Effingham, IL 62401-1638

2030 Laura Duncan Rd
Apex, NC 27523-9267
Phone (270) 993-4789

23 Southpointe Dr
Greenville, SC 29607-5956
Phone (270) 993-4789

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085005898ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Bush Lincoln Health Center CurrentSince Aug 12, 2019 Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 12, 2019 Accepting new patients
Sarah Bush Lincoln Health Center PastSince Aug 1, 2019 Accepting new patients

Locations

2040 Lincoln Ave
Ste 100
Charleston, IL 61920
Phone (217) 345-2030

1104 W Evergreen Ave
Effingham, IL 62401
Phone (217) 342-7090

1303 W Evergreen Ave
Ste 202
Effingham, IL 62401
Phone (217) 238-4634

1000 Health Center Dr
Ste 107
Mattoon, IL 61938
Phone (217) 238-4960

1000 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

200 Dettro Dr
Mattoon, IL 61938
Phone (217) 238-3000

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1710433529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372",
            "address_2": "ATTN PAYER INSURANCE CREDENTIALING",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619380372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HEALTH CENTER DR STE 107",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384644",
            "telephone_number": "217-258-4096",
            "fax_number": "217-238-5485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "611 W. Park St.",
            "address_2": "ED",
            "address_purpose": "LOCATION",
            "city": "Urbana",
            "state": "IL",
            "postal_code": "618012500",
            "country_code": "US",
            "telephone_number": "217-383-3313",
            "fax_number": "217-383-4014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1104 W Evergreen Ave",
            "address_purpose": "LOCATION",
            "city": "Effingham",
            "state": "IL",
            "postal_code": "624011710",
            "country_code": "US",
            "telephone_number": "217-258-4096",
            "fax_number": "217-238-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEICHMILLER",
        "first_name": "LEAH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-31",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085005898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LEAH",
            "last_name": "STEVENS",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

Verify at the official NPI Registry.