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FAMILY HEALTH CENTER OF EAST CENTRAL ILLINOIS, INC.
NPI 1174639223
Nurse Practitioner - Family in Camargo, IL

Active since August 22, 2006CLIA 14D1032655 · Microscopy
117 W MAIN ST, CAMARGO, IL 61919(217) 832-2602(217) 832-8358 Get Directions Write a Review

NPPES record last updated: February 13, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Health Center Of East Central Illinois, Inc. NPPES

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

FAMILY HEALTH CENTER OF EAST CENTRAL ILLINOIS, INC. (NPI 1174639223) is a healthcare organization registered as a family in Camargo, Illinois and active in the NPI registry since August 2006. The organization holds a CLIA Microscopy certificate valid through October 26, 2028 and lists Lisa L Shepherd, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1174639223
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameFAMILY HEALTH CENTER OF EAST CENTRAL ILLINOIS, INC.
Location Address117 W MAIN STCamargo, IL 61919-3312
Mailing Address117 W Main StCamargo, IL 61919-3312 · (217) 832-2602 · Fax (217) 832-8358
Phone(217) 832-2602
Fax(217) 832-8358
Organization SubpartNo
Authorized OfficialLisa L ShepherdVice-president · (217) 832-2602
Enumeration DateAugust 22, 2006
Last NPPES UpdateFebruary 13, 2008
✔ NPI 1174639223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
117 W MAIN ST, Camargo, IL 61919
Open in Google Maps ↗

Other Identifiers 2

OtherDC9748IL · Railroad Medicare
Medicare ID-Type Unspecified210437IL · Medicare Group Number

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

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 Health Center Of East Central Illinois, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Health Center Of East Central Illinois, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Lisa Shepherd, CNP
Nurse Practitioner
NPI 1922112978
117 W MAIN ST
Camargo, IL 61919
(217) 832-2602
✔ PECOS✔ Accepts MedicareSame address
Daphne Piercy, APN CFNP
Nurse Practitioner
NPI 1689676033
117 W MAIN ST
Camargo, IL 61919
(217) 832-2602
✔ PECOS✔ Accepts MedicareSame address

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) 14D1032655

Family Health Center Of East Central Il Inc · Camargo, IL
Active · expires Oct 26, 2028
CLIA Number14D1032655
Laboratory TypePractitioner Other
Certificate Effective DateOctober 27, 2026
Certificate Expiration DateOctober 26, 2028
Laboratory DirectorDaphne L. Piercy
Laboratory Phone(217) 832-2602
Laboratory LocationFamily Health Center Of East Central Il Inc117 W Main, Camargo, IL 61919
CLIA data matches this NPI record on: Address Name Phone
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 Family Health Center Of East Central Illinois, Inc.'s NPI number?

The NPI number for Family Health Center Of East Central Illinois, Inc. is 1174639223. It was assigned to this organization in the NPPES registry on August 22, 2006.

Where is Family Health Center Of East Central Illinois, Inc. located?

Family Health Center Of East Central Illinois, Inc. is located at 117 W Main St, Camargo, IL 61919. The listed phone number is (217) 832-2602.

What is Family Health Center Of East Central Illinois, Inc.'s specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Family Health Center Of East Central Illinois, Inc. enrolled in Medicare?

Yes. Family Health Center Of East Central Illinois, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Health Center Of East Central Illinois, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Family Health Center Of East Central Illinois, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family Health Center Of East Central Illinois, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D1032655) is associated with this NPI, valid through October 26, 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 Family Health Center Of East Central Illinois, Inc. was last updated on February 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.