NPIMap

Chestnut Health Systems Inc

A Medicare group practice based in Bloomington, IL: 8 NPIs enrolled under one PECOS associate control ID (PAC ID 1052393063), with 105 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
1052393063The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL, MO
Enrollments
7
Group size
31 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
13In 7 places

Enrollment records 7

Enrollment IDStateProvider typeNPI
O20040603000738 IL Part B Supplier - Clinic/Group Practice 1366431686
O20230302001846 IL Part A Provider - Federally Qualified Health Center (FQHC) 1225740756
O20230104000395 IL Part A Provider - Federally Qualified Health Center (FQHC) 1801508544
O20221110000429 IL Part A Provider - Federally Qualified Health Center (FQHC) 1467174177
O20201008002798 MO Part B Supplier - Clinic/Group Practice 1366431686
O20160919001079 IL Part A Provider - Federally Qualified Health Center (FQHC) 1326417080
O20121108000280 IL Part A Provider - Federally Qualified Health Center (FQHC) 1790055952

NPIs in this group 8

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 105

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (105) or whom Care Compare lists as members (31).

Sources for this page