Osf Healthcare System

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OSF HEALTHCARE SYSTEM

Practice address

535 Park Ave E
Princeton, IL 61356-2537

Phone

(815) 875-4531

Fax

(815) 876-2118

NPI assigned

Mar 8, 2021

Organization subpart

Yes

Parent organization

THE SISTERS OF THE THIRD ORDER OF ST. FRANCISAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Robert C Sehring

Title

Ceo

Phone

(309) 655-2850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• OSF HealthCare - Community Health Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Rural health clinic certification: CCN 148549

Legal name

OSF HEALTHCARE SYSTEM

Doing business as

OSF HEALTHCARE - COMMUNITY HEALTH

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Nov 4, 2015

Last certification

Nov 4, 2015

Ownership / control type

Non-profit – church related

Most recent change of ownership

Jul 1, 2021 (1 total)

Organization structure

CorporationNon-profit

Incorporated

Jan 2, 1880 in IL

Enrollment address

535 Park Ave E
Princeton, IL 61356-2537

Related CCNs

141337

Related certifications (CCN) 1

Facilities connected through Provider of Services related, parent or unit certification numbers.

• Osf Healthcare System

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439

  Parent provider

  Provider of Services

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Osf Healthcare System

  • General Practice Physician
  • Monmouth, IL
  • NPI 1093834301

  O20070503000249

  Same enrollment
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Princeton, IL
  • NPI 1164015517

  O20070503000249

  Same enrollment
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Monmouth, IL
  • NPI 1679606073

  O20070503000249

  Same enrollment
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Roseville, IL
  • NPI 1730788902

  O20070503000249

  Same enrollment
• Osf Healthcare System

  • Family Medicine Physician
  • Henry, IL
  • NPI 1982311627

  O20070503000249

  Same enrollment

Locations

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Gerald McShane

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1669553012

  Corporate Director

  CMS ownership

All facility ownership & control disclosures 46

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Facilities with the same owner 76

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Greater Peoria Specialty Hospital, LLC

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1033862743

  Osf Healthcare Ministries

  CMS ownership
• Greater Peoria Specialty Hospital, LLC

  • Long Term Care Hospital
  • Peoria, IL
  • NPI 1770721508

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1225877590

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Mendota, IL
  • NPI 1316320849

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1376391888

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Peru, IL
  • NPI 1447029301

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Spring Valley, IL
  • NPI 1750139267

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Mendota, IL
  • NPI 1922024843

  Osf Healthcare Ministries

  CMS ownership
• Mendota Community Hospital

  • Rural Health Clinic/Center
  • Oglesby, IL
  • NPI 1952159469

  Osf Healthcare Ministries

  CMS ownership
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1083030233

  Osf Healthcare Ministries

  CMS ownership
• Osf Healthcare System

  • Community Based Hospice Care Agency
  • Champaign, IL
  • NPI 1093208712

  Osf Healthcare Ministries

  CMS ownership

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Julia Rackley Perry Memorial Hospital

  • Rural Health Clinic/Center
  • Princeton, IL
  • NPI 1578922050

  Acquired from, 2021-07-01

  CMS change of ownership

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ivonne Lilian Beltran Lara, MD

  • Family Medicine Physician
  • Galesburg, IL
  • NPI 1811577273
  NPD
• Paul H Bonucci, MD

  • Addiction Medicine (Preventive Medicine) Physician
  • Princeton, IL
  • NPI 1922114677
  NPD
• Keith Christensen, APN, FNP

  • Family Nurse Practitioner
  • Peru, IL
  • NPI 1255844189
  NPD
• Tamara L Dunlap-Workman, PA-C

  • Physician Assistant
  • Spring Valley, IL
  • NPI 1396811907
  NPD
• Anna M Freeman, APN

  • Family Nurse Practitioner
  • Princeton, IL
  • NPI 1447437702
  NPD
• Rachel B Gustafson

  • Family Nurse Practitioner
  • Sheffield, IL
  • NPI 1275099160
  NPD
• Jacquelyn M Herbert

  • Physician Assistant
  • Galesburg, IL
  • NPI 1922436682
  NPD
• Natalie J Ince, APRN

  • Nurse Practitioner
  • Galesburg, IL
  • NPI 1114467636
  NPD
• Korte B Knoblauch, PA-C

  • Physician Assistant
  • Peoria, IL
  • NPI 1598153512
  NPD
• Hallie Konieczki, APN

  • Family Nurse Practitioner
  • Dekalb, IL
  • NPI 1619425204
  NPD
• Adam Kress

  • Family Medicine Physician
  • Spring Valley, IL
  • NPI 1871233346
  NPD
• Angela M. Longeville, NP

  • Family Nurse Practitioner
  • Peru, IL
  • NPI 1548735988
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1615161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1417542804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 SW ADAMS ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616021308",
            "telephone_number": "309-655-2850",
            "fax_number": "309-655-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613562537",
            "telephone_number": "815-875-4531",
            "fax_number": "815-876-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF HEALTHCARE SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE SISTERS OF THE THIRD ORDER OF ST. FRANCIS",
        "enumeration_date": "2021-03-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "SEHRING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-655-2850"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "999",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF HealthCare - Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Options Eap
• Deofil Luzod Orteza, M.D.
• Osf Healthcare System
• Osf Healthcare System
• Osf Healthcare System
• Osf Healthcare System
• Osf Healthcare System
• Shitaldas Jamandas Pamnani, M.D.
• Ketan Patel, MD
• Cindy Penzenik, PT

• All providers in Princeton, IL
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.