FAMILY MEDICINE SPECIALISTS, S.C.
NPI 1063406601
Family Medicine in Wauconda, IL

Active since September 09, 2005CLIA Certified · 7 labs
604 W LIBERTY ST, WAUCONDA, IL 60084(847) 526-2151(847) 526-2017 Get Directions Write a Review

NPPES record last updated: March 19, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 19, 2025, Feb 27, 2025, Mar 15, 2021 and 1 more (4 updates tracked since 2020).

About Family Medicine Specialists, S.c. NPPES

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

FAMILY MEDICINE SPECIALISTS, S.C. (NPI 1063406601), doing business as Family Medicine Specialists, Incorporated, is a healthcare organization registered as a family medicine in Wauconda, Illinois and active in the NPI registry since September 2005. The organization holds 7 active CLIA laboratory certificates, maintains 4 additional practice locations, and lists Jason C Bellucci, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1063406601
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICINE SPECIALISTS, S.C.
Location Address604 W LIBERTY STWauconda, IL 60084-3479
Mailing AddressPo Box 6037Wauconda, IL 60084-6037 · (847) 526-2151 · Fax (847) 526-2017
Fax(847) 526-2017
Organization SubpartNo
Authorized OfficialJason C BellucciPractice Administrator · (847) 526-2151
Enumeration DateSeptember 9, 2005
Last NPPES UpdateMarch 19, 20254 updates tracked since enumeration
NPPES CertifiedMarch 19, 2025
✔ NPI 1063406601 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
604 W LIBERTY ST, Wauconda, IL 60084

Other Names 1

Former Legal Business NameFamily Medicine Specialists, Incorporated

Secondary Practice Locations 4

Location 1909 Belvidere RdWaukegan, IL 60085-6313 · Phone (847) 244-4995 · Fax (847) 244-5099
Location 29700 N Main StRichmond, IL 60071-7716 · Phone (815) 678-4181 · Fax (815) 678-4184
Location 3425 Lake StAntioch, IL 60002-1464 · Phone (847) 395-2627 · Fax (847) 395-2615
Location 4431 W Liberty StWauconda, IL 60084-2452 · Phone (847) 526-2151 · Fax (847) 526-2017

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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)

Family Medicine Specialists, S.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

23

Medicare enrollment records show 23 clinicians reassign Medicare billing to Family Medicine Specialists, S.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 21 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Nurse Practitioner20
Family Practice2
Certified Clinical Nurse Specialist (CNS)1

Nearest to this location (20)

See all 23
Nurse Practitioner
NPI 1639302615
604 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1649035833
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1780331033
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1205471679
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1689669293
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1497587851
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1841948932
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1720373731
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1508216540
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1104423094
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1487460952
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1841718087
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1407569627
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1023424389
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1043085301
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1194968602
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1356335996
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1366818692
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1144626995
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1295198661
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare0.8 mi
See all 23 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 7

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 14D1084584

Family Medicine Specialists · Antioch, IL
Active · expires May 27, 2028
CLIA Number14D1084584
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2026
Certificate Expiration DateMay 27, 2028
Laboratory DirectorJennifer Bellucci Jackson
Laboratory Phone(847) 395-2627
Laboratory LocationFamily Medicine Specialists425 Lake St, Antioch, IL 60002
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0941198

Family Medicine Specialists · Waukegan, IL
Active · expires Feb 22, 2028
CLIA Number14D0941198
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorJennifer M. Bellucci Jackson
Laboratory Phone(847) 526-2151
Laboratory LocationFamily Medicine Specialists909 Belvidere Rd, Waukegan, IL 60085
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0941318

Family Medicine Specialists Inc · Wauconda, IL
Active · expires Oct 22, 2027
CLIA Number14D0941318
Laboratory TypePhysician Office
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorJennifer M. Bellucci Jackson
Laboratory Phone(847) 526-2151
Laboratory LocationFamily Medicine Specialists Inc604 W Liberty St, Wauconda, IL 60084
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D0941197

Family Medicine Specialists · Richmond, IL
Active · expires Feb 22, 2028
CLIA Number14D0941197
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2026
Certificate Expiration DateFebruary 22, 2028
Laboratory DirectorJennifer M. Bellucci Jackson
Laboratory Phone(847) 526-2151
Laboratory LocationFamily Medicine Specialists9700 Main Street, Richmond, IL 60071
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D2032091

Family Medicine Specialists Of Round Lake Zion · Zion, IL
Active · expires Nov 2, 2027
CLIA Number14D2032091
Laboratory TypePhysician Office
Certificate Effective DateNovember 3, 2025
Certificate Expiration DateNovember 2, 2027
Laboratory DirectorJennifer Bellucci Jackson MD
Laboratory Phone(847) 526-2151
Laboratory LocationFamily Medicine Specialists Of Round Lake Zion4000 Route 173, Zion, IL 60099
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 14D1105255

Family Medicine Specialists Of Round Lake · Round Lake Beach, IL
Active · expires Sep 20, 2027
CLIA Number14D1105255
Laboratory TypePhysician Office
Certificate Effective DateSeptember 21, 2025
Certificate Expiration DateSeptember 20, 2027
Laboratory DirectorJennifer Bellucci-Jackson
Laboratory Phone(815) 678-4181
Laboratory LocationFamily Medicine Specialists Of Round Lake2680 Route 83, Round Lake Beach, IL 60073
CLIA data matches this NPI record on: Name Phone
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 Family Medicine Specialists, S.C.'s NPI number?

The NPI number for Family Medicine Specialists, S.C. is 1063406601. It was assigned to this organization in the NPPES registry on September 9, 2005. The provider was formerly known as Family Medicine Specialists, Incorporated.

Where is Family Medicine Specialists, S.C. located?

Family Medicine Specialists, S.C. is located at 604 W Liberty St, Wauconda, IL 60084. The listed phone number is (847) 526-2151.

What is Family Medicine Specialists, S.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Family Medicine Specialists, S.C. enrolled in Medicare?

Yes. Family Medicine Specialists, S.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medicine Specialists, S.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 23 clinicians in 3 Medicare specialties reassign their Medicare billing to Family Medicine Specialists, S.C.. 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 Nurse Practitioner (20), Family Practice (2) and Certified Clinical Nurse Specialist (CNS) (1). Of these, 1 practice at this address and 21 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Medicine Specialists, S.C. hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Family Medicine Specialists, S.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, MercyCare and MercyCare Health Plans list Family Medicine Specialists, S.C. 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 Family Medicine Specialists, S.C. was last updated on March 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.