ERIE AMUNDSEN SCHOOL BASE HEALTH CENTER
NPI 1164713129
Clinic/Center - Federally Qualified Health Center (FQHC) in Chicago, IL

Active since April 26, 2011CLIA 14D0918524 · Microscopy
5110 N DAMEN AVE, CHICAGO, IL 60625(312) 666-3494 Get Directions Write a Review

NPPES record last updated: April 26, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Erie Amundsen School Base Health Center NPPES

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

ERIE AMUNDSEN SCHOOL BASE HEALTH CENTER (NPI 1164713129) is a healthcare organization registered as a federally qualified health center (fqhc) in Chicago, Illinois and active in the NPI registry since April 2011. The organization holds a CLIA Microscopy certificate valid through August 12, 2028 and lists Gabriela Norena, Patient Account Supervisor, as its authorized official.

NPPES Registry Identity

NPI1164713129
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameERIE FAMILY HEALTH CENTER INC.
Location Address5110 N DAMEN AVEChicago, IL 60625-1317
Mailing Address1701 W Superior StChicago, IL 60622-5646 · (312) 666-3494 · Fax (312) 666-0610
Organization SubpartNo
Authorized OfficialGabriela NorenaPatient Account Supervisor · (312) 432-7444
Enumeration DateApril 26, 2011
✔ NPI 1164713129 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in IL · 261QF0400X
5110 N DAMEN AVE, Chicago, IL 60625

Other Names 1

Doing Business AsErie Amundsen School Base Health Center

Other Identifiers 2

Other1616827IL · Blue Cross Blue Shield
Other748480IL · Medicare

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)

Erie Amundsen School Base Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

381

Medicare enrollment records show 381 clinicians reassign Medicare billing to Erie Amundsen School Base Health Center, which bills Medicare for the services they deliver. Of these, 253 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 19

Family Practice83
Nurse Practitioner71
Obstetrics/Gynecology55
Certified Nurse Midwife (CNM)36
Pediatric Medicine35
Internal Medicine19
Clinical Social Worker16
Dentist14
11 other specialties52

Nearest to this location (20)

See all 381
Family Practice
NPI 1669609897
4600 N RAVENSWOOD AVE 2ND FLOOR
Chicago, IL 60640
(773) 561-7500
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1295476513
4600 N RAVENSWOOD AVE
Chicago, IL 60640
(773) 561-7500
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1487814265
4600 N RAVENSWOOD AVE
Chicago, IL 60640
(773) 561-7500
✔ PECOS✔ Accepts Medicare0.7 mi
Family Practice
NPI 1477577104
4600 N RAVENSWOOD AVE
Chicago, IL 60640
(773) 561-7500
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1083159982
1945 W WILSON AVE
Chicago, IL 60640
(773) 736-6220
✔ PECOS0.7 mi
Clinical Social Worker
NPI 1437882719
4411 N RAVENSWOOD AVE # 225
Chicago, IL 60640
(312) 667-3775
✔ PECOS0.9 mi
Obstetrics/Gynecology
NPI 1235576158
5145 N. CALIFORNIA AVE. GMP 3RD FL
Chicago, IL 60625
(773) 989-3834
✔ PECOS✔ Accepts Medicare1.0 mi
Hospitalist
NPI 1457455065
5145 N CALIFORNIA AVE
Chicago, IL 60625
(773) 878-8200
✔ PECOS1.0 mi
Obstetrics/Gynecology
NPI 1083027619
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
Obstetrics/Gynecology
NPI 1528350865
5215 N. CALIFORNIA AVENUE ERIE FOSTER AVENUE HEALTH CENTER
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
Pediatric Medicine
NPI 1336566892
5215 N CALIFORNIA AVE STE 700
Chicago, IL 60625
(847) 691-0404
✔ PECOS1.0 mi
Internal Medicine
NPI 1538554043
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(126) 663-4943
✔ PECOS✔ Accepts Medicare1.0 mi
Nurse Practitioner
NPI 1326773870
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1437413432
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
Oral Surgery
NPI 1952485211
5215 N CALIFORNIA AVE
Chicago, IL 60625
(312) 666-3493
✔ PECOS1.0 mi
Psychiatry
NPI 1114480001
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(718) 270-8867
✔ PECOS✔ Accepts Medicare1.0 mi
Pediatric Medicine
NPI 1609138643
5215 N CALIFORNIA AVE STE 700
Chicago, IL 60625
(312) 666-3494
✔ PECOS1.0 mi
Certified Nurse Midwife (CNM)
NPI 1962810002
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS1.0 mi
Nurse Practitioner
NPI 1932709946
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1699206565
5215 N CALIFORNIA AVE FL 7
Chicago, IL 60625
(312) 666-3494
✔ PECOS✔ Accepts Medicare1.0 mi
See all 381 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 for Provider-Performed Microscopy Procedures (PPMP) 14D0918524

Erie Amundsen School Base Health Ctr D/B/A Erie Family Health Inc · Chicago, IL
Active · expires Aug 12, 2028
CLIA Number14D0918524
Laboratory TypeSchool/Student Health Service
Certificate Effective DateAugust 13, 2026
Certificate Expiration DateAugust 12, 2028
Laboratory DirectorLee Francis MD
Laboratory Phone(312) 432-0006
Laboratory LocationErie Amundsen School Base Health Ctr D/B/A Erie Family Health Inc5110 N Damen Ave, Chicago, IL 60625
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform 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 Erie Family Health Center Inc.'s NPI number?

The NPI number for Erie Family Health Center Inc. is 1164713129. It was assigned to this organization in the NPPES registry on April 26, 2011. The provider is doing business as Erie Amundsen School Base Health Center.

Where is Erie Family Health Center Inc. located?

Erie Family Health Center Inc. is located at 5110 N Damen Ave, Chicago, IL 60625. The listed phone number is (312) 666-3494.

What is Erie Family Health Center Inc.'s specialty?

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

Is Erie Family Health Center Inc. enrolled in Medicare?

Yes. Erie Family Health Center Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Erie Family Health Center Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 381 clinicians in 19 Medicare specialties reassign their Medicare billing to Erie Family Health Center Inc.. 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 Family Practice (83), Nurse Practitioner (71) and Obstetrics/Gynecology (55). Of these, 253 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Erie Family Health Center Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0918524) is associated with this NPI, valid through August 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Erie Family Health Center Inc. accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Erie Family Health Center Inc. 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 Erie Family Health Center Inc. was last updated on April 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.