D/B/A CHERRY VALLEY MEDICAL CLINIC
NPI 1013930353
General Practice in Rockford, IL
About D/b/a Cherry Valley Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
D/B/A CHERRY VALLEY MEDICAL CLINIC (NPI 1013930353) is a healthcare organization registered as a general practice in Rockford, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists Thomas L Michalsen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
D/b/a Cherry Valley Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to D/B/A Cherry Valley Medical Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D0429570
Cherry Valley Medical Clinic · Rockford, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Physician Associates Limited's NPI number?
The NPI number for Physician Associates Limited is 1013930353. It was assigned to this organization in the NPPES registry on July 26, 2006. The provider is doing business as D/B/A Cherry Valley Medical Clinic.
Where is Physician Associates Limited located?
Physician Associates Limited is located at 1848 Daimler Rd, Rockford, IL 61112. The listed phone number is (815) 229-2500.
What is Physician Associates Limited's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Physician Associates Limited enrolled in Medicare?
Yes. Physician Associates Limited is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physician Associates Limited?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Physician Associates Limited, in General Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Physician Associates Limited hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0429570) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Physician Associates Limited was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# D/b/a Cherry Valley Medical Clinic · NPI 1013930353
General Practice organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1013930353 (Entity type: Organization)
- **Enumerated:** July 26, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Physician Associates Limited
- **Organization subpart:** No
- **Authorized official:** Thomas Michalsen, PRESIDENT
## Practice location
- **Address:** 1848 DAIMLER RD, Rockford, IL 61112-1019
- **Phone:** (815) 229-2500 · **Fax:** (815) 398-9587
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), General Practice (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2008
- **Other identifiers:** Medicare UPIN C42327 (IL); Medicare PIN 745670 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013930353) · Data from the CMS NPPES public registry.