Mendota Community Hospital
A Medicare group practice based in Mendota, IL: 11 NPIs enrolled under one PECOS associate control ID (PAC ID 2264335777), with 106 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 2264335777
- Provider type
- Part A Provider - Critical Access Hospital, Part A Provider - Rural Health Clinic, Part B Supplier - Clinic/Group Practice
- Enrolled in
- IL
- Enrollments
- 9
- Group size
- 51 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 19
Enrollment records 9
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20040131000102 | IL | Part B Supplier - Clinic/Group Practice | 1407872997 |
| O20080123000489 | IL | Part A Provider - Critical Access Hospital | 1609803113 |
| O20080124000259 | IL | Part A Provider - Critical Access Hospital | 1922024843 |
| O20240801003133 | IL | Part A Provider - Rural Health Clinic | 1750139267 |
| O20240801003481 | IL | Part A Provider - Rural Health Clinic | 1952159469 |
| O20240801003724 | IL | Part A Provider - Rural Health Clinic | 1376391888 |
| O20240801003877 | IL | Part A Provider - Rural Health Clinic | 1225877590 |
| O20240717004144 | IL | Part A Provider - Rural Health Clinic | 1447029301 |
| O20140619002050 | IL | Part A Provider - Rural Health Clinic | 1316320849 |
NPIs in this group 11
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Mendota Community Hospital
dba OSF Healthcare - Medical Group - Granville
- Rural Health Clinic/Center
- Granville, IL
- NPI 1225877590
-
Mendota Community Hospital
dba OSF Saint Paul Medical Center
- Rural Health Clinic/Center
- Mendota, IL
- NPI 1316320849
-
Mendota Community Hospital
dba Osf Healthcare - Medical Group - Plaza
- Rural Health Clinic/Center
- Peru, IL
- NPI 1376391888
-
Mendota Community Hospital
dba OSF Medical Group-Mendota
- Family Medicine Physician
- Mendota, IL
- NPI 1407872997
-
Mendota Community Hospital
dba Osf Healthcare - Medical Group - Midtown
- Rural Health Clinic/Center
- Peru, IL
- NPI 1447029301
-
Mendota Community Hospital
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1609803113
-
Mendota Community Hospital
dba OSF Healthcare - Medical Group - Spring Valley
- Rural Health Clinic/Center
- Spring Valley, IL
- NPI 1750139267
-
Mendota Community Hospital
dba OSF Saint Paul Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Mendota, IL
- NPI 1922024843
-
Mendota Community Hospital
dba Osf Healthcare - Medical Group - Oglesby
- Rural Health Clinic/Center
- Oglesby, IL
- NPI 1952159469
-
Mendota Community Hospital
dba OSF Saint Paul Medical Center
- Emergency Medicine Physician
- Mendota, IL
- NPI 1417973900
-
Mendota Community Hospital
dba OSF Saint Paul Medical Center
- Critical Access Hospital
- Mendota, IL
- NPI 1962537498
Practice locations
- Mendota, IL8
- Peru, IL4
- Spring Valley, IL2
- Granville, IL2
- Oglesby, IL2
- Paw Paw, IL1
Clinicians 106
Clinicians who reassign their Medicare benefits to this group (106) or whom Care Compare lists as members (51).
-
Dexter Resurreccion Angeles, M.D.
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1629335781
-
Tasha Marie Arteaga, APRN
- Family Nurse Practitioner
- Ottawa, IL
- NPI 1639981285
-
Shawn E Bailey, MD
- Family Medicine Physician
- Granville, IL
- NPI 1447363585
-
Christopher Beach, M.D.
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1649245564
-
Katie Beetz
- Physician Assistant
- Davenport, IA
- NPI 1700620432
-
Jennifer Alice Berkley, APN
- Family Nurse Practitioner
- Normal, IL
- NPI 1295088391
-
Jasmine Naila Bhurgri, MD
- Family Medicine Physician
- Ottawa, IL
- NPI 1821046186
-
Patricia Blackburn
- Physician Assistant
- Oglesby, IL
- NPI 1790157642
-
Jamie Bond, FNP
- Family Nurse Practitioner
- La Salle, IL
- NPI 1679024111
-
James T Brown, M.D.
- Emergency Medicine Physician
- Peoria, IL
- NPI 1699704122
-
Ricardo Joseph Calderon, M.D.
- Family Medicine Physician
- La Salle, IL
- NPI 1194886226
-
Keith Christensen, APN, FNP
- Family Nurse Practitioner
- Peru, IL
- NPI 1255844189
-
Janie Clary, DNP, APN, FNP-C
- Family Nurse Practitioner
- Peoria, IL
- NPI 1053912188
-
Amy Gail Corsolini
- Family Nurse Practitioner
- Peru, IL
- NPI 1992407738
-
Kelly L Cox, M.D.
- Emergency Medicine Physician
- Quincy, IL
- NPI 1518182906
-
Brian Curtis
- Internal Medicine Physician
- Morton, IL
- NPI 1730272964
-
Troy S Cutler, M.D.
- Emergency Medicine Physician
- Peoria, IL
- NPI 1639108020
-
Maddalena Davenport, APRN
- Family Nurse Practitioner
- Roanoke, IL
- NPI 1154157808
-
Tamara L Dunlap-Workman, PA-C
- Physician Assistant
- Spring Valley, IL
- NPI 1396811907
-
Karen L Eggers, FNP-BC
- Family Nurse Practitioner
- Spring Valley, IL
- NPI 1073806048
-
Caitlin J Engels-Arteaga
- Medical Physician Assistant
- Mendota, IL
- NPI 1790140580
-
Maritza Yesenia Estrada-O'Brien
- Family Medicine Physician
- Mendota, IL
- NPI 1184187767
-
Kara O Fess, MD
- Family Medicine Physician
- La Salle, IL
- NPI 1700843950
-
Anastasia Figura, D.O.
- Emergency Medicine Physician
- Park Ridge, IL
- NPI 1023455680
-
Carrie B Finley, APN, CNP
- Nurse Practitioner
- Ottawa, IL
- NPI 1427531615
-
Katherine Rose Ford, CRNA
- Certified Registered Nurse Anesthetist
- Mendota, IL
- NPI 1073869475
-
Serge Alexander Golber, M.D.
- Emergency Medicine Physician
- Chicago, IL
- NPI 1861464992
-
Angella Marie Greenwood, APN, FNP, BC
- Family Nurse Practitioner
- Granville, IL
- NPI 1437586096
-
Damian W Grivetti, MD
- Family Medicine Physician
- Granville, IL
- NPI 1518970847
-
Gueorgui S Gueorguiev, M.D.
- Family Medicine Physician
- Ottawa, IL
- NPI 1356336952
-
Raul V Guerrero, MD
- Internal Medicine Physician
- Ottawa, IL
- NPI 1053307660
-
Lisa Kay Gustafson, MS/LCPC
- Professional Counselor
- Ottawa, IL
- NPI 1962666875
-
Rachel B Gustafson
- Family Nurse Practitioner
- Sheffield, IL
- NPI 1275099160
-
Scott M Guth, MD
- Emergency Medical Services (Emergency Medicine) Physician
- Hinsdale, IL
- NPI 1568422962
-
Sherine Hanna, MD
- Anesthesiology Physician
- Maywood, IL
- NPI 1003886417
-
Christopher M Herman, MD
- Emergency Medicine Physician
- Bloomington, IL
- NPI 1588734842
-
Christine Elie Hermosillo, NP-C
- Family Nurse Practitioner
- Spring Valley, IL
- NPI 1962838862
-
Debra Herz, FNP-BC
- Family Nurse Practitioner
- Peru, IL
- NPI 1275842650
-
James R Hubler, M.D.
- Emergency Medicine Physician
- Peoria, IL
- NPI 1861428492
-
David Hulsey, D.O.
- Emergency Medicine Physician
- Elgin, IL
- NPI 1316992969
-
Alisha Jackson, FNP
- Family Nurse Practitioner
- Peru, IL
- NPI 1487197745
-
Pairote Jaroonwanichkul, MD
- Hematology & Oncology Physician
- Cape Girardeau, MO
- NPI 1801893979
-
David Jonathan Kawior, M.D.
- Emergency Medicine Physician
- Lake Forest, IL
- NPI 1326453093
-
Tracie R Kelly, APRN
- Family Nurse Practitioner
- Mendota, IL
- NPI 1578197513
-
Jennifer Michelle Kelsey, APN
- Clinical Nurse Specialist
- Peoria, IL
- NPI 1861860058
-
Niko Keys, MD
- Emergency Medicine Physician
- Winfield, IL
- NPI 1881783793
-
Traci Lynne Keyster, FNP
- Family Nurse Practitioner
- Shorewood, IL
- NPI 1255684072
-
Fazal Khan, M.D.
- Family Medicine Physician
- Huntley, IL
- NPI 1669430567
-
Muhammad Waqar Khattak, M.D.
- Nephrology Physician
- Peoria, IL
- NPI 1669648309
-
Eric A Kivisto, DO
- Surgery Physician
- Mendota, IL
- NPI 1447257316
-
Korte B Knoblauch, PA-C
- Physician Assistant
- Peoria, IL
- NPI 1598153512
-
Hallie Konieczki, APN
- Family Nurse Practitioner
- Dekalb, IL
- NPI 1619425204
-
Mete Korkmaz, M.D.
- Medical Oncology Physician
- Rockford, IL
- NPI 1902833999
-
Jane Lynn Kotecki, MD
- Emergency Medicine Physician
- Rockford, IL
- NPI 1760451793
-
Kellie Marie Kozlowski, PMHNP-BC
- Family Nurse Practitioner
- Princeton, IL
- NPI 1588164610
-
Adam Kress
- Family Medicine Physician
- Spring Valley, IL
- NPI 1871233346
-
Marisa Lynn Kress, DO
- Family Medicine Physician
- Waukesha, WI
- NPI 1770223240
-
Connor Kristof, MD
- Emergency Medicine Physician
- Chicago, IL
- NPI 1912495383
-
John T Kuzma, PA-C
- Physician Assistant
- Peru, IL
- NPI 1518361641
-
Marcela Renee Lemus, FNP-C
- Family Nurse Practitioner
- Mendota, IL
- NPI 1962175562
-
Britnae L Lewis, APRN, CNP
- Family Nurse Practitioner
- Oglesby, IL
- NPI 1922524578
-
Leonardo Lopez, M.D.
- Family Medicine Physician
- Mendota, IL
- NPI 1376643007
-
Cheryl Marie Lucas McCoy, APRN, CNP
- Family Nurse Practitioner
- Ottawa, IL
- NPI 1811643315
-
Joan Marie Luckey, APRN,BC
- Family Nurse Practitioner
- Streator, IL
- NPI 1881767762
-
Louis R Lukancic, MD
- Internal Medicine Physician
- Spring Valley, IL
- NPI 1326153651
-
Amy M Matheis-Soliman, DO
- Family Medicine Physician
- Mendota, IL
- NPI 1376566539
-
Mark A Meeker, D. O.
- Internal Medicine Physician
- Galesburg, IL
- NPI 1225139058
-
David Morland
- Physician Assistant
- Galva, IL
- NPI 1720178007
-
Michael S Morrow, MD
- Internal Medicine Physician
- Spring Valley, IL
- NPI 1013920420
-
Robert W Morrow III, MD
- Internal Medicine Physician
- Spring Valley, IL
- NPI 1295747137
-
Dimitrios T. Mougolias, M.D.
- Emergency Medicine Physician
- Libertyville, IL
- NPI 1053520700
-
Justine E Mucci, APRN, CNP
- Family Nurse Practitioner
- Ottawa, IL
- NPI 1659771863
-
Richard Nora, M.D.
- Hematology & Oncology Physician
- Rockford, IL
- NPI 1376570846
-
Susan J Olsen, APRN FNP-C
- Family Nurse Practitioner
- Mendota, IL
- NPI 1508491663
-
Shahmohammed Farid Parves, MD
- Anesthesiology Physician
- Rockford, IL
- NPI 1538394838
-
Dana C. Perry, M.D.
- Emergency Medicine Physician
- Melrose Park, IL
- NPI 1265434658
-
Stacy A Piller, APN
- Primary Care Nurse Practitioner
- Mendota, IL
- NPI 1508319914
-
Brian R Pope, DO
- Emergency Medicine Physician
- Aurora, IL
- NPI 1275533820
-
Bridget A Pratt, FNP
- Family Nurse Practitioner
- Peru, IL
- NPI 1427741933
-
Joy Preciado
- Family Nurse Practitioner
- Mendota, IL
- NPI 1306216098
-
Bharat Raju, M.D.
- Family Medicine Physician
- Dayton, OH
- NPI 1720217581
-
Candace R Ramirez, APN
- Family Nurse Practitioner
- Peru, IL
- NPI 1053087767
-
Melissa Elvira Ramirez, MSN, FNP-C
- Family Nurse Practitioner
- Peru, IL
- NPI 1043943830
-
Fnu Raza Ur Rahman, MD
- Internal Medicine Physician
- Detroit, MI
- NPI 1336886696
-
Grant M Reed, DO
- Family Medicine Physician
- Peru, IL
- NPI 1215354246
-
Brennan T Reeder, PA-C
- Physician Assistant
- Rockford, IL
- NPI 1063991958
-
Natasha Rinaldi, LCSW
- Clinical Social Worker
- Ottawa, IL
- NPI 1295499200
-
Rebekka J Root, FNP
- Family Nurse Practitioner
- Princeton, IL
- NPI 1366077695
-
Cynthia Salazar, APN
- Family Nurse Practitioner
- Spring Valley, IL
- NPI 1477010031
-
Zia Samad
- Internal Medicine Physician
- Aurora, IL
- NPI 1639551195
-
Rahul Ramesh Sampat, M.D.
- Family Medicine Physician
- Traverse City, MI
- NPI 1790937092
-
Mohammed Mubbasheer Shaik, M.D
- Hospitalist Physician
- McHenry, IL
- NPI 1508980434
-
Tiffany Ann Shinnick
- Family Nurse Practitioner
- Peru, IL
- NPI 1003388463
-
Veronica Spangler, FNP-C
- Family Nurse Practitioner
- Peru, IL
- NPI 1609481175
-
Shylendra B Sreenivasappa, M.D.
- Medical Oncology Physician
- Rockford, IL
- NPI 1972706604
-
Elizabeth Lauren Stuart, NP-C
- Family Nurse Practitioner
- Springfield, IL
- NPI 1669983789
-
Alicia M Szafranski, CRNA
- Certified Registered Nurse Anesthetist
- Dekalb, IL
- NPI 1912361361
-
Jessica Torres, MSN, APRN, FNP-BC
- Family Nurse Practitioner
- Princeton, IL
- NPI 1033997580
-
Michelle Vasquez, MD
- Family Medicine Physician
- Peru, IL
- NPI 1164629531
-
Angela Marie Vezzetti, PA-C
- Physician Assistant
- Peru, IL
- NPI 1699005678
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.