Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Lavada Rainier Simpson

Individual provider Family Nurse Practitioner · NPI 1780452235

Lavada Rainier Simpson is a Nurse Practitioner in Centralia, Illinois. Qualified in 2023, 3 years ago. Practices with Physician Services Corporation of Southern Illinois Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
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Practice location Address checks out

1003 E McCord St
Centralia, IL 62801-3345
Phone: (618) 436-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209028436041414056 (IL)

Record details

NPI number1780452235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 14, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address1003 E McCord St, Centralia, IL 62801-3345

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Physician Services Corporation Of Southern Illinois Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Centralia