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MISS LEAANNA JEAN CAUTHON APN
NPI 1639764277
Nurse Practitioner - Family in Galesburg, IL

Active since March 05, 2021PECOS EnrolledAccepts Medicare Assignment
834 NORTH SEMINARY STREET, SUITE 102, GALESBURG, IL 61401(309) 344-9697(309) 344-9755 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Leaanna Jean Cauthon Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS LEAANNA JEAN CAUTHON APN (NPI 1639764277) is an individual family provider in Galesburg, Illinois, licensed in Illinois (209.022932) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639764277
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMISS LEAANNA JEAN CAUTHONCredential: APN
Location Address834 NORTH SEMINARY STREET, SUITE 102Galesburg, IL 61401
Mailing Address911 W Losey StGalesburg, IL 61401-2529
Phone(309) 344-9697
Fax(309) 344-9755
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 5, 2021
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedFebruary 19, 2021
✔ NPI 1639764277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.022932
834 NORTH SEMINARY STREET, Galesburg, IL 61401
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Leaanna Jean Cauthon Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4789092768
PECOS Enrollment IDI20210412000711
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
303 services144 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
243 services97 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
235 services126 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
131 services91 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services29 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
29 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
7 suppliers37 claims474 services$19.25 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
7 suppliers39 claims1,400 services$2.40 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers55 claims155 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers29 claims40 services$0.96 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier13 claims13 services$305.79 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers310 claims314 services$187.36 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA ROSE QUINN LCSW
Social Worker (Clinical)
834 NORTH SEMINARY STREET, SUITE 405
GALESBURG, IL 61401
Knox County (309) 344-9444
PHILIP H ULM PSY D
Counselor (Professional)
834 NORTH SEMINARY STREET, SUITE 405
GALESBURG, IL 61401
Knox County (309) 344-9444
DENISE M JOHNSON-DECHOW DO
Psychiatry & Neurology (Psychiatry)
834 NORTH SEMINARY STREET, SUITE 405
GALESBURG, IL 61401
Knox County (309) 344-9444
KALEENA WILLIAMS
Social Worker (Clinical)
834 NORTH SEMINARY STREET, SUITE 405
GALESBURG, IL 61401
Knox County (309) 344-9444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Leaanna Cauthon's NPI number?

The NPI number for Leaanna Cauthon is 1639764277. It was assigned to this individual provider in the NPPES registry on March 5, 2021.

Where is Leaanna Cauthon located?

Leaanna Cauthon practices at 834 North Seminary Street Suite 102, Galesburg, IL 61401. The listed phone number is (309) 344-9697.

What is Leaanna Cauthon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Leaanna Cauthon enrolled in Medicare?

Yes. Leaanna Cauthon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Leaanna Cauthon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Leaanna Cauthon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Leaanna Cauthon affiliated with any hospitals?

According to CMS data, Leaanna Cauthon is affiliated with St Mary Medical Center and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Leaanna Cauthon was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.