Rick S Cernovich, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036071681 Issued in IL

Practice address

530 Park Ave E
Princeton, IL 61356

Phone

(815) 875-2811

NPI assigned

May 4, 2006

Last updated

Oct 13, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Emergency Medicine

Education

Michigan State University College of Human Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Home Health-Western Region Home health agency, Galesburg, IL, CCN 147430
• Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325
• Osf Saint Clare Medical Center Hospital, Princeton, IL, CCN 141337
• Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Osf Healthcare System

  • Certified Registered Nurse Anesthetist
  • Monmouth, IL
  • NPI 1811016124
  Medicare reassignment Care Compare group NPD
• Osf Multi-Specialty Group

  • Internal Medicine Physician
  • Peoria, IL
  • NPI 1922445527
  Medicare reassignment NPD
• Sheffield Family Medical Center S.C.

  • Family Medicine Physician
  • Sheffield, IL
  • NPI 1538345756
  Authorized official Same address or phone
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1427475177
  NPD
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590
  NPD
• Central PA Pharmacy LLC.

  dba patton pharmacy and v&s variety

  • Community/Retail Pharmacy
  • Patton, PA
  • NPI 1578541413
  NPD
• CGH Medical Center

  • General Acute Care Hospital
  • Sterling, IL
  • NPI 1902854623
  NPD (past)
• Kewanee Hospital

  dba Home Medical Equipment

  • Durable Medical Equipment & Medical Supplies
  • Kewanee, IL
  • NPI 1245337658
  NPD (past)
• New Century Physicians of Western Illinois, Inc

  • Emergency Medicine Physician
  • Galesburg, IL
  • NPI 1902848187
  NPD (past)
• Osf Healthcare System

  • Occupational Medicine Physician
  • Peoria, IL
  • NPI 1871039388
  NPD (past)
• Princeton Emergency Services, LLC

  • Nurse Practitioner
  • Princeton, IL
  • NPI 1134187875

  Emergency Medicine

  NPD (past)
• Skokie Emergency Services, LLC

  • Physician Assistant
  • Skokie, IL
  • NPI 1750349494

  Emergency Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Critical Access Hospital
  • Princeton, IL
  • NPI 1093308439
  Care Compare affiliation
• Osf Healthcare System

  dba Osf Saint Luke Medical Center

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1871919381
  Care Compare affiliation
• St Mary Medical Center

  dba OSF Home Health-Western Region

  • Home Health Agency
  • Galesburg, IL
  • NPI 1225072176
  Care Compare affiliation

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602547200000",
    "number": "1508824723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S MAIN ST",
            "city": "SHEFFIELD",
            "state": "IL",
            "postal_code": "613619752",
            "telephone_number": "815-454-2811",
            "fax_number": "815-454-2832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 PARK AVE E",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 S Main St",
            "address_purpose": "LOCATION",
            "city": "Sheffield",
            "state": "IL",
            "postal_code": "613619752",
            "country_code": "US",
            "telephone_number": "815-454-2811",
            "fax_number": "815-454-2832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CERNOVICH",
        "first_name": "RICK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036071681",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036071681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360716813",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036071681",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rick.cernovich@perry.cernerdirect.com",
            "affiliation": "N",
            "address_1": "530 Park Ave E",
            "city": "Princeton",
            "state": "IL",
            "country_code": "US",
            "postal_code": "61356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brianna Carlson, COTA
• Renee L Carlson, DT
• Nancy A Carper, LCPC
• Paul Thomas Castelein, DDS MS
• Catching Joy Midwifery
• Tricia Kay Cervantes, LCSW
• Christ Community Church
• Stephen Christopherson, LCSW
• City of Princeton
• Colonial Healthcare and Rehabilitation Centre LLC (Colonial Healthcare and Rehabilitation Centre)

• Family Medicine Physician in Princeton, IL
• Providers in Princeton, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.