Osf Healthcare System

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

OSF HEALTHCARE SYSTEM

Doing business as

Osf Healthcare - Medical Group - Godfrey
OSF Medical Group- Godfrey

Practice address

6702 Godfrey Rd
Godfrey, IL 62035-2205

Phone

(618) 467-1520

NPI assigned

Sep 11, 2019

Last updated

Feb 12, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirsten Marie Largent

Title

Chief Financial Officer

Phone

(309) 308-5255

Specialties & licenses 1

Addresses

Other names 2

• OSF HEALTHCARE - MEDICAL GROUP - GODFREY Doing business as
• OSF Medical Group- Godfrey Doing business as

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861041980. Details of each certification follow.

• CCN 148612 Rural health clinic · Active · Details

Rural health clinic certification: CCN 148612

Legal name

OSF HEALTHCARE SYSTEM

Doing business as

OSF HEALTHCARE - MEDICAL GROUP - GODFREY

Certification status

Active

Provider type (POS)

Rural health clinic

Participating since

Jul 17, 2020

Last certification

Jul 17, 2020

Ownership / control type

Non-profit – church related

Organization structure

CorporationNon-profit

Incorporated

Jan 2, 1880 in IL

Enrollment address

6702 Godfrey Rd
Godfrey, IL 62035-2205

Related CCNs

140052

Related certifications (CCN) 1

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

• Osf Healthcare System

  dba Osf Saint Anthony's Health Center

  • General Acute Care Hospital
  • Alton, IL
  • NPI 1710396932

  Parent provider

  Provider of Services

Other NPIs on the same Medicare enrollment 9

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

• Osf Healthcare System

  dba OSF Little Company of Mary Medical Center

  • General Acute Care Hospital
  • Evergreen Park, IL
  • NPI 1215572045

  O20070504000101

  Same enrollment
• Osf Healthcare System

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1427475177

  O20070504000101

  Same enrollment
• Osf Healthcare System

  dba OSF Saint Katharine Medical Center

  • General Acute Care Hospital
  • Dixon, IL
  • NPI 1508683590

  O20070504000101

  Same enrollment
• Osf Healthcare System

  dba Osf Heart of Mary Medical Center

  • General Acute Care Hospital
  • Urbana, IL
  • NPI 1659884476

  O20070504000101

  Same enrollment
• Osf Healthcare System

  • Clinic/Center
  • Kewanee, IL
  • NPI 1699191841

  O20070504000101

  Same enrollment
• Osf Healthcare System

  dba OSF Sacred Heart Medical Center

  • General Acute Care Hospital
  • Danville, IL
  • NPI 1699288449

  O20070504000101

  Same enrollment
• Osf Healthcare System

  dba OSF Saint Clare Medical Center

  • Clinic/Center
  • Princeton, IL
  • NPI 1790363505

  O20070504000101

  Same enrollment
• Osf Healthcare System

  • Certified Registered Nurse Anesthetist
  • Monmouth, IL
  • NPI 1811016124

  O20070504000101

  Same enrollment
• Osf Healthcare System

  • Anesthesiology Physician
  • Kewanee, IL
  • NPI 1932526621

  O20070504000101

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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 45

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

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

  • Rehabilitation Hospital Unit
  • Peoria, IL
  • NPI 1033862743

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Greater Peoria Specialty Hospital, LLC

  dba Osf Healthcare Divine Mercy Continuing Care Hospital

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Granville

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Plaza

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Midtown

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

  • Critical Access Hospital
  • Mendota, IL
  • NPI 1609803113

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba OSF Healthcare - Medical Group - Spring Valley

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba OSF Saint Paul Medical Center

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Mendota Community Hospital

  dba Osf Healthcare - Medical Group - Oglesby

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

  Osf Healthcare Ministries, Osf Healthcare System

  CMS ownership
• Osf Healthcare System

  dba OSF Medical Group-Kewanee

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

  Osf Healthcare Ministries

  CMS ownership
• Osf Healthcare System

  dba OSF Hospice - Urbana

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

  Osf Healthcare Ministries

  CMS ownership

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lori Paige Balchik, PNP

  • Pediatric Nurse Practitioner
  • Godfrey, IL
  • NPI 1063054716
  NPD
• Valerie L Behrends, FNP-C

  • Family Nurse Practitioner
  • Brighton, IL
  • NPI 1700348349
  NPD
• Ivonne Lilian Beltran Lara, MD

  • Family Medicine Physician
  • Galesburg, IL
  • NPI 1811577273
  NPD
• Deena M Brown, FNP

  • Family Medicine Physician
  • Alton, IL
  • NPI 1548995897
  NPD
• Colin M Butterfield, M.D.

  • Internal Medicine Physician
  • Alton, IL
  • NPI 1952417578
  NPD
• Maddalena Davenport, APRN

  • Family Nurse Practitioner
  • Roanoke, IL
  • NPI 1154157808
  NPD
• Gretchen M Evans, D.P.M.

  • Foot Surgery Podiatrist
  • Peoria, IL
  • NPI 1477504710
  NPD
• Amber Fleming, APRN

  • Family Nurse Practitioner
  • Galesburg, IL
  • NPI 1740967553
  NPD
• Jill Marie Heitzig

  • Family Nurse Practitioner
  • Edwardsville, IL
  • NPI 1134999147
  NPD
• Korte B Knoblauch, PA-C

  • Physician Assistant
  • Peoria, IL
  • NPI 1598153512
  NPD
• Melissa G Kulp, MS, FNP-BC

  • Family Nurse Practitioner
  • Jerseyville, IL
  • NPI 1003232489
  NPD
• Priya Kumaraguru, M.D.

  • Family Medicine Physician
  • Alton, IL
  • NPI 1902062862
  NPD

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

{
    "created_epoch": "1568160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1861041980",
    "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": "309-624-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6702 GODFREY RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352205",
            "telephone_number": "618-467-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSF HEALTHCARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "LARGENT",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "309-308-5255"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OSF HEALTHCARE - MEDICAL GROUP - GODFREY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OSF Medical Group- Godfrey",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lawrence E Newquist, DMD
• Nexus at Godfrey, LLC
• Allison C Nicklow, PHARMD
• Benedicta I Odemerho, FNP
• Optimal Health Medicine LLC
• Mary Elizabeth Pagano, FNP-C
• Parishi Patel, DO
• Morgan Peters, PA-C
• Julia Lynn Phillips, REGISTERED
• Piasa Manor

• Rural Health Clinic/Center in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Rural Health Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• 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.