GIBSON AREA MEDICAL CLINIC
NPI 1154702181
Clinic/Center - Rural Health in Gibson City, IL
About Gibson Area Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GIBSON AREA MEDICAL CLINIC (NPI 1154702181) is a healthcare organization registered as a rural health in Gibson City, Illinois and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through August 29, 2028 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Gibson Area Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
157Medicare enrollment records show 157 clinicians reassign Medicare billing to Gibson Area Medical Clinic, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 37 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 157Source: 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 14D0891029
Gibson Area Medical Clinic #8 · Gibson City, 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 Gibson Community Hospital Association's NPI number?
The NPI number for Gibson Community Hospital Association is 1154702181. It was assigned to this organization in the NPPES registry on June 16, 2015. The provider is doing business as Gibson Area Medical Clinic.
Where is Gibson Community Hospital Association located?
Gibson Community Hospital Association is located at 8 Doctors Park, Gibson City, IL 60936. The listed phone number is (217) 784-4086.
What is Gibson Community Hospital Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Gibson Community Hospital Association enrolled in Medicare?
Yes. Gibson Community Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gibson Community Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 157 clinicians in 26 Medicare specialties reassign their Medicare billing to Gibson Community Hospital Association. 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 Diagnostic Radiology (53), Nurse Practitioner (34) and Certified Registered Nurse Anesthetist (CRNA) (14). Of these, 16 practice at this address and 37 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gibson Community Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0891029) is associated with this NPI, valid through August 29, 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 Gibson Community Hospital Association was last updated on September 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Gibson Area Medical Clinic · NPI 1154702181
Rural Health organization in Gibson City, Illinois. Organization record, active in the CMS NPPES registry since June 16, 2015.
## Identity
- **NPI:** 1154702181 (Entity type: Organization)
- **Enumerated:** June 16, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Gibson Community Hospital Association
- **Organization subpart:** Yes (part of Gibson Community Hospital Association)
- **Authorized official:** Matthew Ertel, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 8 DOCTORS PARK, Gibson City, IL 60936-2000
- **Phone:** (217) 784-4086 · **Fax:** (217) 784-4437
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 157 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (53), Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (14); 16 practice at this address and 37 within 10 miles; [full list](https://npiprofile.com/npi/1154702181/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1154702181) · Data from the CMS NPPES public registry.