Individual provider Active NPI

Leann N Nitz, NP

  • Family Nurse Practitioner
  • Edwardsville, IL
National Provider Identifier
1952701666
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277003111 Issued in IL
Practice address
6277 Center Grove Rd
Edwardsville, IL 62025-3309
Phone
(618) 659-0605
NPI assigned
Aug 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2014026213 MO
Family Nurse Practitioner 363LF0000X 277003111 IL Primary

Addresses

Primary practice location

6277 Center Grove Rd
Edwardsville, IL 62025-3309

Mailing address

PO Box 34
Edwardsville, IL 62025-0034
Phone (618) 335-2478

Other practice location 1

623 Hamacher St
Waterloo, IL 62298-1786
Phone (618) 939-3488

Other practice location 2

3490 Humbert Rd
Alton, IL 62002-7101
Phone (618) 465-2626

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150403000349 MO Practitioner - Nurse Practitioner 2769709658 Reassigns benefits to 5 organizations
I20190816001914 IL Practitioner - Nurse Practitioner 2769709658 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Ahs Il Medical Group LLCGroup PAC ID 5496111676, 46 clinicians
James Cole Physiatry LLCGroup PAC ID 3870976582, 15 clinicians
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians

Practice addresses (Care Compare)

10 Hospital Dr
Saint Peters, MO 63376-1659
Phone (800) 501-9855

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-4450

2100 Madison Ave
Granite City, IL 62040-4713
Phone (618) 798-3000

4455 Duncan Ave
Saint Louis, MO 63110-1111
Phone (314) 920-8933

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.31

Merit-based Incentive Payment System (MIPS)

Final score
21.75 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
72.52

Merit-based Incentive Payment System (MIPS)

Final score
79.28 of 100Reported as group
Quality
73.83
Improvement activities
40
Cost
45.57

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
277003111ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-Illinois Hospitalists CurrentSince Apr 1, 2022 Accepting new patients
Statera Health Care, LLC CurrentSince Jul 1, 2020 Accepting new patients
Cep America - Illinois SNF LLP CurrentSince Jan 1, 2022 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Apr 1, 2023 Accepting new patients
Cogent Healthcare of Illinois, LLC CurrentSince Jan 1, 2021 Accepting new patients
Cep America-Illinois Hospitalists, LLP Current Accepting new patients
Granite City Hospitalist Services LLC CurrentSince Sep 1, 2019 Accepting new patients
Sound Physicians of Illinois, LLC CurrentSince Feb 1, 2019 Accepting new patients
Galen Inpatient Physicians PC. CurrentSince Feb 1, 2022 Accepting new patients
James Cole Physiatry LLC CurrentSince Sep 30, 2023 Accepting new patients
Cep America - Illinois SNF, LLP CurrentSince Jan 1, 2022 Accepting new patients
Southeastern Physician Services PC CurrentSince Aug 16, 2016 Accepting new patients
Ahs Il Medical Group LLC CurrentSince Aug 22, 2023 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Feb 1, 2022 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Apr 1, 2023 Accepting new patients
NP Health of Mo LLC CurrentSince Dec 1, 2021 Accepting new patients
Cep America - Illinois SNF, LLP Current Accepting new patients
Cep America-Illinois Hospitalists CurrentSince Apr 1, 2022 Accepting new patients

Locations (25 of 34)

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870

3490 Humbert Rd
Alton, IL 62002
Phone (618) 465-2626

3523 Wickenhauser Ave
Alton, IL 62002
Phone (618) 465-8887

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

253 Bradington Dr
Columbia, IL 62236
Phone (618) 218-6800

6277 Center Grove Rd
Edwardsville, IL 62025
Phone (618) 659-0605

1623 W Delmar Ave
Godfrey, IL 62035
Phone (618) 466-0443

2100 Madison Ave
Ste 301
Granite City, IL 62040

2100 Madison Ave
Granite City, IL 62040
Phone (618) 798-3000

100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956

611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146

8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

150 N 27th St
Swansea, IL 62226
Phone (618) 235-6600

200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201

393 E Edwardsville Rd
Wood River, IL 62095
Phone (618) 259-4111

4401 Parker Rd
Black Jack, MO 63033
Phone (314) 312-0720

10 Lake Dr
Bonne Terre, MO 63628
Phone (573) 358-2800

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

Interoperability endpoints

  • Direct secure messaging: nitzl172@yourcarecommunity.org

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

Hospital & facility affiliations 9

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": "1409270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1952701666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620250034",
            "telephone_number": "618-335-2478",
            "fax_number": "636-333-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6277 CENTER GROVE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620253309",
            "telephone_number": "618-659-0605"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "623 Hamacher St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IL",
            "postal_code": "622981786",
            "country_code": "US",
            "telephone_number": "618-939-3488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3490 Humbert Rd",
            "address_purpose": "LOCATION",
            "city": "Alton",
            "state": "IL",
            "postal_code": "620027101",
            "country_code": "US",
            "telephone_number": "618-465-2626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NITZ",
        "first_name": "LEANN",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2014026213",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277003111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

Verify at the official NPI Registry.