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

Stacey A Leithliter, PA

Individual provider Medical Physician Assistant · NPI 1437208410

Stacey A Leithliter, PA is a Physician Assistant in Murphysboro, Illinois. Qualified in 1988, 38 years ago. Practices with Deaconess Illinois Specialty Clinic, Inc, a 139-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
38
Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7 S Hospital Dr
Murphysboro, IL 62966-3333
Phone: (618) 687-3418
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085000393 (IL)

Record details

NPI number1437208410
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1988 (38 years in practice)
Group practice Deaconess Illinois Specialty Clinic, Inc. — 139 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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