FRANCES NELSON HEALTH CENTER
NPI 1073938882
Clinic/Center - Federally Qualified Health Center (FQHC) in Champaign, IL

Active since March 03, 2014CLIA 14D2289879 · Waiver
801 N WALNUT ST, CHAMPAIGN, IL 61820(217) 356-1558 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 3, 2024, May 14, 2018 (2 updates tracked since 2018).

About Frances Nelson Health Center NPPES

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

FRANCES NELSON HEALTH CENTER (NPI 1073938882) is a healthcare organization registered as a federally qualified health center (fqhc) in Champaign, Illinois and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through September 17, 2027 and lists Jennifer Henry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1073938882
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePROMISE HEALTHCARE NFP
Location Address801 N WALNUT STChampaign, IL 61820
Mailing Address819 Bloomington RdChampaign, IL 61820-2101 · (217) 356-1558
Organization SubpartNo
Authorized OfficialJennifer HenryCeo · (217) 359-1558
Enumeration DateMarch 3, 2014
Last NPPES UpdateJune 3, 20242 updates tracked since enumeration
NPPES CertifiedJune 3, 2024
✔ NPI 1073938882 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
801 N WALNUT ST, Champaign, IL 61820

Other Names 1

Doing Business AsFrances Nelson Health Center

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Frances Nelson Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Frances Nelson Health Center, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner21
Family Practice6
Dentist4
Psychiatry4
Clinical Social Worker3
Mental Health Counselor3
Internal Medicine2
Obstetrics/Gynecology2
2 other specialties3

Nearest to this location (20)

See all 48
Internal Medicine
NPI 1649483736
611 W. PARK STREET HOSPITALIST SERVICES
Urbana, IL 61801
(217) 383-3129
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1700281342
611 W. PARK ST
Urbana, IL 61801
(217) 383-6792
✔ PECOS0.8 mi
Psychiatry
NPI 1477572733
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1215952684
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1992290449
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1053386250
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1740038009
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1144662388
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1477959724
819 BLOOMINGTON ROAD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1316639537
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Clinical Social Worker
NPI 1962130674
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1043084528
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1811062623
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Dentist
NPI 1154932218
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1841713450
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare0.9 mi
Nurse Practitioner
NPI 1467312579
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS0.9 mi
Nurse Practitioner
NPI 1689441099
610 N LINCOLN AVE
Urbana, IL 61801
(217) 383-3507
✔ PECOS1.3 mi
Obstetrics/Gynecology
NPI 1073720157
611 W. PARK ST. SC4
Urbana, IL 61801
(217) 383-3140
✔ PECOS✔ Accepts Medicare1.5 mi
Family Practice
NPI 1033184247
611 W PARK ST
Urbana, IL 61801
(217) 383-3170
✔ PECOS✔ Accepts Medicare1.5 mi
Mental Health Counselor
NPI 1922308949
1701 S PROSPECT AVE SUITE 101
Champaign, IL 61820
(217) 607-0916
✔ PECOS2.1 mi
See all 48 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 14D2289879

Promise Health Nfp · Rantoul, IL
Active · expires Sep 17, 2027
CLIA Number14D2289879
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 18, 2025
Certificate Expiration DateSeptember 17, 2027
Laboratory DirectorMelonie M. Richardson
Laboratory Phone(217) 356-1558
Laboratory LocationPromise Health Nfp424 E Wabash St, Rantoul, IL 61866
CLIA data matches this NPI record on: 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 Promise Healthcare Nfp's NPI number?

The NPI number for Promise Healthcare Nfp is 1073938882. It was assigned to this organization in the NPPES registry on March 3, 2014. The provider is doing business as Frances Nelson Health Center.

Where is Promise Healthcare Nfp located?

Promise Healthcare Nfp is located at 801 N Walnut St, Champaign, IL 61820. The listed phone number is (217) 356-1558.

What is Promise Healthcare Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Promise Healthcare Nfp enrolled in Medicare?

Yes. Promise Healthcare Nfp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promise Healthcare Nfp?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 10 Medicare specialties reassign their Medicare billing to Promise Healthcare Nfp. 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 (21), Family Practice (6) and Dentist (4). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Promise Healthcare Nfp hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2289879) is associated with this NPI, valid through September 17, 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 Promise Healthcare Nfp was last updated on June 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.