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HAVANA MEDICAL ASSOCIATES
NPI 1063478782
Clinic/Center - Rural Health in Havana, IL

Active since April 21, 2006CLIA 14D0435387 · Accreditation
615 N PROMENADE ST, HAVANA, IL 62644(309) 543-6600(309) 543-2089 Get Directions Write a Review

NPPES record last updated: February 2, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Havana Medical Associates NPPES

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

HAVANA MEDICAL ASSOCIATES (NPI 1063478782) is a healthcare organization registered as a rural health in Havana, Illinois and active in the NPI registry since April 2006. The organization holds an CLIA Accreditation certificate valid through February 27, 2027 and lists Mary L Layton, Director Of Clinic Operations, as its authorized official.

NPPES Registry Identity

NPI1063478782
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMASON HOSPITAL DISTRICT
Location Address615 N PROMENADE STHavana, IL 62644-1243
Mailing Address615 N Promenade St, P O Box 530Havana, IL 62644-1015 · (309) 543-6600 · Fax (309) 543-2089
Phone(309) 543-6600
Fax(309) 543-2089
Organization SubpartNo
Authorized OfficialMary L LaytonDirector Of Clinic Operations · (309) 543-8542
Enumeration DateApril 21, 2006
Last NPPES UpdateFebruary 2, 2012
✔ NPI 1063478782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
615 N PROMENADE ST, Havana, IL 62644
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Other Names 1

Doing Business AsHavana Medical Associates

Other Identifiers 1

Medicare OSCAR/certification143457IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Havana Medical Associates is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

56

Medicare enrollment records show 56 clinicians reassign Medicare billing to Havana Medical Associates, 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 16

Emergency Medicine11
Nurse Practitioner10
Family Practice8
General Surgery8
Internal Medicine4
Cardiovascular Disease (Cardiology)2
Certified Registered Nurse Anesthetist (CRNA)2
Interventional Cardiology2
8 other specialties9

Nearest to this location (20)

See all 56
Kayla Miller, M.D.
Internal Medicine
NPI 1033524350
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Rachel Davenport, PMHNP
Nurse Practitioner
NPI 1528841582
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Kaitlyn Fields, WHNP-BC
Nurse Practitioner
NPI 1578382016
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Chase Holtman
Nurse Practitioner
NPI 1912418799
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Jenna Ishmael, FNP-C
Nurse Practitioner
NPI 1942928866
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Stanley Noll, MD
Family Practice
NPI 1952830036
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Daniel Stoops, M.D.
Emergency Medicine
NPI 1801953724
615 N PROMENADE ST
Havana, IL 62644
(309) 534-8555
✔ PECOS✔ Accepts MedicareSame address
Kali Troxell, APN
Nurse Practitioner
NPI 1396475083
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Richard Wagoner, M.D.
Internal Medicine
NPI 1861458952
615 N PROMENADE ST
Havana, IL 62644
(309) 543-6600
✔ PECOS✔ Accepts MedicareSame address
Brett Barnhart, MD
Orthopedic Surgery
NPI 1487762035
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Rozana Dwyer, M.D.
General Surgery
NPI 1669887527
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Breann Farr, NP-C
Nurse Practitioner
NPI 1699204750
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Glen Feather, DO
Pain Management
NPI 1962492900
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Melanie Miller, APN
Nurse Practitioner
NPI 1629724901
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Brent Parry, DPM
Podiatry
NPI 1891794004
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Courtney Reynolds, APN
Nurse Practitioner
NPI 1720775919
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Gary Shaw, M.D.
Otolaryngology
NPI 1912940958
180 S MAIN ST
Canton, IL 61520
(309) 647-0201
✔ PECOS✔ Accepts Medicare17 mi
Erika Switzer Hunter, MD
Pediatric Medicine
NPI 1891749198
1301 S EAST AVE
Manito, IL 61546
(309) 968-5311
✔ PECOS17 mi
Amanda Meeks, M.D.
Family Practice
NPI 1760457261
1 CENTRE DR
Petersburg, IL 62675
(217) 632-7761
✔ PECOS✔ Accepts Medicare23 mi
Farnaz Moazzam, M.D.
General Surgery
NPI 1487669735
600 S 13TH ST # I
Pekin, IL 61554
(309) 495-0200
✔ PECOS✔ Accepts Medicare29 mi
See all 56 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 2

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 Accreditation 14D0435387

Mason District Hospital · Havana, IL
Active · expires Feb 27, 2027
CLIA Number14D0435387
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Ronald Champagne
Laboratory Phone(309) 543-5830
Laboratory LocationMason District Hospital615 N Promenade St, Havana, IL 62644
CLIA data matches this NPI record on: Address
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 14D0724597

Havana Medical Associates · Havana, IL
Expired · Oct 25, 2026
CLIA Number14D0724597
Laboratory TypePhysician Office
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorMichael S. Markley
Laboratory Phone(309) 543-6600
Laboratory LocationHavana Medical Associates615 N Promenade St, Havana, IL 62644
CLIA data matches this NPI record on: Address 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 Mason Hospital District's NPI number?

The NPI number for Mason Hospital District is 1063478782. It was assigned to this organization in the NPPES registry on April 21, 2006. The provider is doing business as Havana Medical Associates.

Where is Mason Hospital District located?

Mason Hospital District is located at 615 N Promenade St, Havana, IL 62644. The listed phone number is (309) 543-6600.

What is Mason Hospital District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Mason Hospital District enrolled in Medicare?

Yes. Mason Hospital District is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mason Hospital District?

According to the CMS Revalidation Reassignment List (October 2026 release), 56 clinicians in 16 Medicare specialties reassign their Medicare billing to Mason Hospital District. 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 (11), Nurse Practitioner (10) and Family Practice (8). Of these, 9 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mason Hospital District hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 14D0435387) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mason Hospital District was last updated on February 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.