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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GENESIS MEDICAL CENTER, ALEDO
NPI 1053664938
Clinic/Center in Aledo, IL

Active since October 17, 2012CLIA 14D2167002 · Waiver
1007 NW 3RD ST, ALEDO, IL 61231(309) 582-9450(309) 582-9479 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2026, Jul 9, 2026 (2 updates tracked since 2026).

About Genesis Medical Center, Aledo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GENESIS MEDICAL CENTER, ALEDO (NPI 1053664938), doing business as Genesis Health Group, Aledo, is a healthcare organization registered as a clinic/center in Aledo, Illinois and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through May 29, 2027 and lists Edward Rogalski, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053664938
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS MEDICAL CENTER, ALEDO
Location Address1007 NW 3RD STAledo, IL 61231-1317
Mailing AddressPo Box 672128Dallas, TX 75267-2128 · (309) 582-9450 · Fax (309) 582-9479
Phone(309) 582-9450
Fax(309) 582-9479
Organization SubpartYesParent: Genesis Health System
Authorized OfficialEdward RogalskiAdministrator · (309) 582-9250
Enumeration DateOctober 17, 2012
Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration
NPPES CertifiedOctober 7, 2026
✔ NPI 1053664938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1007 NW 3RD ST, Aledo, IL 61231
Open in Google Maps ↗

Other Names 2

Doing Business AsGenesis Health Group, Aledo
Doing Business AsMercyone Genesis Health Group Aledo

Other Identifiers 1

Other07400036IL · Illinois Health Connect Primary Care Provider Id Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Medical Center, Aledo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Genesis Medical Center, Aledo, which bills Medicare for the services they deliver. Of these, 9 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Emergency Medicine10
Nurse Practitioner7
Certified Registered Nurse Anesthetist (CRNA)4
Family Practice4
Internal Medicine4
Interventional Cardiology4
Cardiovascular Disease (Cardiology)3
Clinical Social Worker1
3 other specialties3

Nearest to this location (20)

See all 40
Lindsay Chick, ARNP
Nurse Practitioner
NPI 1043821440
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-9450
✔ PECOS✔ Accepts MedicareSame address
Kurt Doyle, LCSW
Clinical Social Worker
NPI 1104226166
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-9450
✔ PECOS✔ Accepts MedicareSame address
Amy Feist, A.P.N
Nurse Practitioner
NPI 1659606267
1007 NW 3RD ST
Aledo, IL 61231
(309) 309-5829
✔ PECOS✔ Accepts MedicareSame address
Jesse Korns
Nurse Practitioner
NPI 1093054942
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-9450
✔ PECOS✔ Accepts MedicareSame address
Megan Nache, APN
Nurse Practitioner
NPI 1407234875
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-3789
✔ PECOS✔ Accepts MedicareSame address
Robert Padgett, MD
Family Practice
NPI 1306832910
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-3789
✔ PECOS✔ Accepts MedicareSame address
Dennis Palmer, D.O.
Family Practice
NPI 1609920768
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-9450
✔ PECOS✔ Accepts MedicareSame address
Martha Thornton, D.P.M.
Podiatry
NPI 1942219639
1007 NW 3RD ST
Aledo, IL 61231
(309) 582-9440
✔ PECOS✔ Accepts MedicareSame address
Kristin Wurzburger, MD
Internal Medicine
NPI 1902892805
1007 NW 3RD STREET
Aledo, IL 61231
(309) 582-3789
✔ PECOS✔ Accepts MedicareSame address
Syed Haque, M.D.
Internal Medicine
NPI 1720072960
2701 17TH ST
Rock Island, IL 61201
(309) 779-3200
✔ PECOS✔ Accepts Medicare22 mi
Carlos Moreno, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1760763270
520 VALLEY VIEW DR
Moline, IL 61265
(309) 762-3621
✔ PECOS✔ Accepts Medicare22 mi
Ryan Eyberg, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275826976
1518 MULBERRY AVE
Muscatine, IA 52761
(563) 260-1399
✔ PECOS✔ Accepts Medicare22 mi
Richard Maynard, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1922087196
1518 MULBERRY AVE
Muscatine, IA 52761
(563) 264-9100
✔ PECOS✔ Accepts Medicare22 mi
Faraz Manazir, M.D.
Interventional Cardiology
NPI 1104805092
1100 36TH AVENUE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Ryane Passno, AGACNP-BC APN, PNP-B
Nurse Practitioner
NPI 1407239478
1100 36TH AVENUE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Aswartha Pothula, M.D.
Cardiovascular Disease (Cardiology)
NPI 1497734396
1100 36TH AVENUE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Sanjeev Puri, M.D.
Interventional Cardiology
NPI 1023097839
1100 36TH AVENUE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Bouyella Reddy, M.D.
Interventional Cardiology
NPI 1043299746
1100 36TH AVENUE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Mark Shen, M.D.
Internal Medicine
NPI 1346539467
1100 36TH AVE
Moline, IL 61265
(309) 743-6700
✔ PECOS✔ Accepts Medicare22 mi
Jennifer Hook, FNP-C
Nurse Practitioner
NPI 1033662044
2217 ROCKINGHAM RD
Davenport, IA 52802
(563) 900-8465
✔ PECOS✔ Accepts Medicare23 mi
See all 40 clinicians

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 14D2167002

Genesis Medical Center, Aledo · Aledo, IL
Active · expires May 29, 2027
CLIA Number14D2167002
Laboratory TypePhysician Office
Certificate Effective DateMay 30, 2025
Certificate Expiration DateMay 29, 2027
Laboratory DirectorKimberly D. Nylin
Laboratory Phone(309) 582-9170
Laboratory LocationGenesis Medical Center, Aledo1007 N W 3rd St - Ste 100, Aledo, IL 61231
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Genesis Medical Center, Aledo's NPI number?

The NPI number for Genesis Medical Center, Aledo is 1053664938. It was assigned to this organization in the NPPES registry on October 17, 2012. The provider is doing business as Genesis Health Group, Aledo and MercyOne Genesis Health Group Aledo.

Where is Genesis Medical Center, Aledo located?

Genesis Medical Center, Aledo is located at 1007 NW 3rd St, Aledo, IL 61231. The listed phone number is (309) 582-9450.

What is Genesis Medical Center, Aledo's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Genesis Medical Center, Aledo enrolled in Medicare?

Yes. Genesis Medical Center, Aledo is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Medical Center, Aledo?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 11 Medicare specialties reassign their Medicare billing to Genesis Medical Center, Aledo. 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. The largest specialties are Emergency Medicine (10), Nurse Practitioner (7) and Certified Registered Nurse Anesthetist (CRNA) (4). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Genesis Medical Center, Aledo hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2167002) is associated with this NPI, valid through May 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genesis Medical Center, Aledo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Genesis Medical Center, Aledo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Medical Center, Aledo was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.