Deaconess Illinois Crossroads Inc
A Medicare group practice based in Mount Vernon, IL: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 0143692178), with 18 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 0143692178
- Provider type
- Part A Provider - Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 4
- Group size
- 7 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 7
Enrollment records 4
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20230301002192 | IL | Part A Provider - Hospital | 1124745807 |
| O20230221000097 | IL | Part B Supplier - Clinic/Group Practice | 1528785284 |
| O20230224002452 | IL | Part A Provider - Rural Health Clinic | 1528785284 |
| O20230308000409 | IL | Part A Provider - Rural Health Clinic | 1316663602 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Deaconess Illinois Crossroads Inc
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1124745807
-
Deaconess Illinois Crossroads Inc
- Rural Health Clinic/Center
- Mount Vernon, IL
- NPI 1316663602
-
Deaconess Illinois Crossroads Inc
- Rural Health Clinic/Center
- Wayne City, IL
- NPI 1528785284
Practice locations
- Mount Vernon, IL5
- Wayne City, IL2
Clinicians 18
Clinicians who reassign their Medicare benefits to this group (18) or whom Care Compare lists as members (7).
-
Bayly Lynn Adams, APRN
- Family Nurse Practitioner
- Mount Vernon, IL
- NPI 1295443653
-
Amber S Bruce, APRN, FNP-C
- Nurse Practitioner
- Salem, IL
- NPI 1932705050
-
Suzanne Burge, MD
- Family Medicine Physician
- Du Quoin, IL
- NPI 1467456798
-
Tracy Adele Caswell, APRN
- Nurse Practitioner
- Salem, IL
- NPI 1407407885
-
Dennon W Davis, M.D.
- Family Medicine Physician
- Mount Vernon, IL
- NPI 1689788630
-
Johanna Shea Estes, RD, IBCLC, MSNFNP-C
- Family Nurse Practitioner
- Mount Vernon, IL
- NPI 1558685156
-
Jennifer L Felchlia, APRN
- Nurse Practitioner
- Carlyle, IL
- NPI 1114659703
-
William D Huffstutler, MD
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1578513420
-
Nicole Lynette Kennedy, MD
- Family Medicine Physician
- Marion, IL
- NPI 1780902486
-
Paul Ryan Lane, PA-C
- Physician Assistant
- Mount Vernon, IL
- NPI 1962023820
-
Sherry Charlette Locey, PA-C
- Physician Assistant
- Wayne City, IL
- NPI 1265446199
-
Sonya McKinney, APRN
- Nurse Practitioner
- Mount Vernon, IL
- NPI 1407221484
-
Cynthia Dawn Phillips, APN
- Nurse Practitioner
- Mount Vernon, IL
- NPI 1841785185
-
Megan Nicole Plummer, APRN
- Pediatric Nurse Practitioner
- Mount Vernon, IL
- NPI 1487271557
-
Peter Pyagay, MD
- Internal Medicine Physician
- Chicago, IL
- NPI 1821616947
-
Christina Roddy, NP
- Nurse Practitioner
- Norris City, IL
- NPI 1922750785
-
Diana Vaughn, FNP-C
- Nurse Practitioner
- Harrisburg, IL
- NPI 1588185888
-
Leslie Wright, FNP-C
- Family Nurse Practitioner
- Marion, IL
- NPI 1043077365
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.