Individual provider Active NPI

Leslie Ann Williams, FNP

  • Family Nurse Practitioner
  • Centralia, IL
National Provider Identifier
1962647149
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277000097 Issued in IL
Practice address
1998 State Route 161
Centralia, IL 62801-6754
Phone
(618) 339-2114
NPI assigned
Dec 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277000097 IL Primary

Addresses

Primary practice location

1998 State Route 161
Centralia, IL 62801-6754

Mailing address

1998 State Route 161
Centralia, IL 62801-6754
Phone (618) 339-2114

Other identifiers 1

IdentifierTypeStateIssuer
209007351OtherILMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, ND2 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
I20091106000510 IL Practitioner - Nurse Practitioner 0143368498 Reassigns benefits to 7 organizations
I20240910003647 ND Practitioner - Nurse Practitioner 0143368498 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 S Grand St
Nashville, IL 62263-1534
Phone (618) 327-8236

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital CurrentSince Sep 1, 2024 Accepting new patients
Mercy Hospital of Valley City CurrentSince Sep 1, 2024 Accepting new patients
Midwest Emergency Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Midwest Inpatient Anderson Health, Inc CurrentSince Feb 1, 2022 Accepting new patients
Midwest Emergency Good Samaritan, Inc CurrentSince Jun 1, 2012 Accepting new patients
Touchette Regional Hospital Inc CurrentSince Sep 1, 2022 Accepting new patients
Lisbon Area Health Services Current Accepting new patients
Washington County Hospital District CurrentSince Jun 15, 2018 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. CurrentSince Aug 28, 2009 Accepting new patients
Washington County Hospital District CurrentSince Jun 15, 2018 Accepting new patients
Mercy Hospital of Valley City Current Accepting new patients
Lisbon Area Health Services CurrentSince Sep 1, 2024 Accepting new patients
Lisbon Area Health Services Current Accepting new patients
Midwest Emergency Centralia Campus Associates, Inc CurrentSince Jun 1, 2012 Accepting new patients
Terry Chiropractic Clinic, LTD PastSince Jun 11, 1999 Accepting new patients
Lisbon Area Health Services Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

3276 Solutions Ctr
Chicago, IL 60677

3265 Solutions Ctr
Chicago, IL 60677

5900 Bond Ave
East Saint Louis, IL 62207
Phone (618) 332-3060

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200

2071 Goose Lake Rd
Sauget, IL 62206
Phone (314) 872-1473

400 N Caldwell St
Staunton, IL 62088
Phone (618) 635-2200

570 Chautauqua Blvd
Valley City, ND 58072
Phone (701) 845-0440

Interoperability endpoints

  • Direct secure messaging: lwilliams76641@direct-ehr-ssmhc.com

Organizations & group practices 16

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 16

Hospital & facility affiliations 4

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": "1228176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1962647149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1998 STATE ROUTE 161",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016754",
            "telephone_number": "618-339-2114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1998 STATE ROUTE 161",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628016754",
            "telephone_number": "618-339-2114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-02",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277000097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "209007351",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, IL

Sources for this page

Verify at the official NPI Registry.