Trinity Medical Staffing LLC
Organization Active NPI Internal Medicine Physician · Harrisburg, IL
NPI 1770103426 · NPPES record last updated Sep 12, 2025
Key facts
- NPI
- 1770103426
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- TRINITY MEDICAL STAFFING LLC
- Practice address
- 100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718 - Phone
- (618) 253-7671
- NPI assigned
- Apr 23, 2020
- Organization subpart
- No
Authorized official
- Name
- Caleb Sutton
- Title
- Director of Organizational DVLP
- Phone
- (618) 833-1691
Practitioners 68
-
Edward Carl Burtis, FNP-C
-
Donald Lee Clark III, FNP-BC
-
John L Culiberk, AGNP-C
-
Brandon Cole Edwards, NP-C
-
Syed Yamin Hashimi, M.D.
-
Chandrakiran Jwala, M.D.
-
Katie Kasper, NP-C
-
Stephanie Lowrance, APN
-
Carrie Ann Lutman, FNP-BC
-
Anand K Patel, M.D.
-
Ashlyn Peebles, APRN
-
Bridget Ray, FNP-C
-
Patrick L Riley, MD
-
Amy Stevens, NP
-
Roxanna Elise Stevens, BC-FNP
-
Val Valencia, MD
-
Morgan Warren, NP-C
-
Matthew Edward Weems, FNP-C
-
Sarah Wilson, FNP-C
-
Candis Nicole Bell, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200511000598 | IL | Part B Supplier - Clinic/Group Practice | 1759712698 |
Receives reassigned benefits from 67 practitioners Practice locations: Harrisburg, IL; Jerseyville, IL; MC Leansboro, IL; Metropolis, IL; Mount Vernon, IL; Watseka, IL |
National Provider Directory
Locations
28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Mailing address
2250 N Illinois Ave
Carbondale, IL 62901-5612
Other practice location 1
611 S Marshall Ave
Mc Leansboro, IL 62859-1213
Phone (618) 643-2631
Other practice location 2
200 E Fairman Ave
Watseka, IL 60970-1644
Phone (815) 432-5841
Other practice location 3
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
Other practice location 4
28 Chick St
Metropolis, IL 62960-2467
Phone (618) 427-2680
Other practice location 5
400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402
Other practice location 6
8 Doctors Park Rd
Mount Vernon, IL 62864-6224
Phone (618) 244-5500
Other providers in Harrisburg, IL
- Alexandra Teal
- Daryl B Thomas
- Jeffrey Don Thomas
- Thompson Eyecare
- Sykes Thompson
- James A Tucka
- Turner Manor, Inc.
- Kara Lee Vallette
- Adam M Vargo
- Diana Vaughn
All providers in Harrisburg, IL · Internal Medicine Physician 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 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.