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HARRISBURG FAMILY MEDICINE
NPI 1184202392
Clinic/Center - Rural Health in Harrisburg, IL

Active since March 30, 2021CLIA 14D2227857 · Waiver
716 S COMMERCIAL ST, HARRISBURG, IL 62946(618) 294-8241(618) 297-8212 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 3, 2023, Dec 9, 2022, May 28, 2021 and 1 more (4 updates tracked since 2021).

About Harrisburg Family Medicine NPPES

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

HARRISBURG FAMILY MEDICINE (NPI 1184202392) is a healthcare organization registered as a rural health in Harrisburg, Illinois and active in the NPI registry since March 2021. The organization holds a CLIA Waiver certificate valid through December 12, 2026 and lists Clifford E Morris, Director Of Board, as its authorized official.

NPPES Registry Identity

NPI1184202392
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFERRELL HOSPITAL COMMUNITY FOUNDATION
Location Address716 S COMMERCIAL STHarrisburg, IL 62946-2346
Mailing Address1201 Pine StEldorado, IL 62930-1634 · (618) 273-3361 · Fax (618) 273-2504
Phone(618) 294-8241
Fax(618) 297-8212
Organization SubpartNo
Authorized OfficialClifford E MorrisDirector Of Board · (618) 273-3361
Enumeration DateMarch 30, 2021
Last NPPES UpdateFebruary 12, 20244 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1184202392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
716 S COMMERCIAL ST, Harrisburg, IL 62946
Open in Google Maps ↗

Other Names 1

Doing Business AsHarrisburg Family Medicine

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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)

Harrisburg Family Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

74

Medicare enrollment records show 74 clinicians reassign Medicare billing to Harrisburg Family Medicine, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 26 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 22

Nurse Practitioner21
Family Practice10
Certified Registered Nurse Anesthetist (CRNA)6
Otolaryngology5
Interventional Cardiology4
Clinical Social Worker3
General Surgery3
Orthopedic Surgery3
14 other specialties19

Nearest to this location (20)

See all 74
Clayton Ford, MD
Family Practice
NPI 1689960650
716 S COMMERCIAL ST
Harrisburg, IL 62946
(618) 273-3361
✔ PECOS✔ Accepts MedicareSame address
Jacob Stewart, MD
Family Practice
NPI 1952987786
716 S COMMERCIAL ST
Harrisburg, IL 62946
(618) 294-8241
✔ PECOS✔ Accepts MedicareSame address
Amy Quertermous, APN-BC
Nurse Practitioner
NPI 1265943591
716 S COMMERCIAL ST
Harrisburg, IL 62946
(618) 294-8241
✔ PECOS✔ Accepts MedicareSame address
Nicholas Oldham
Qualified Audiologist
NPI 1417245606
1220 E SLOAN ST
Harrisburg, IL 62946
(618) 253-3277
✔ Accepts Medicare0.4 mi
Deborah Davis, CNP
Nurse Practitioner
NPI 1467592907
250 SMALL ST
Harrisburg, IL 62946
(618) 294-8264
✔ PECOS✔ Accepts Medicare1.3 mi
Darah Cummins, FNP
Nurse Practitioner
NPI 1962174409
1412 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3326
✔ PECOS✔ Accepts Medicare6.6 mi
Rachael Patton
Clinical Social Worker
NPI 1346954526
1412 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3326
✔ PECOS✔ Accepts Medicare6.6 mi
Joseph Jackson, M.D.
Family Practice
NPI 1912269903
1300 US HIGHWAY 45 N
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare6.8 mi
Luke Hall, M.D.
Family Practice
NPI 1417150376
1407 LOCUST ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.7 mi
Susan Sigler, FNP
Nurse Practitioner
NPI 1063885101
1407 LOCUST ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.7 mi
Casey Carlile, FNP
Nurse Practitioner
NPI 1154691319
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.7 mi
Caitlyn Genet, FNP
Nurse Practitioner
NPI 1194207258
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-9665
✔ PECOS✔ Accepts Medicare7.7 mi
Jared Mitchell, MD
Family Practice
NPI 1760864987
1306 MAPLE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare7.7 mi
Meghan Mitchell, FNP
Nurse Practitioner
NPI 1346711553
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.7 mi
Samantha Mosby, D.O.
Family Practice
NPI 1609329358
1306 MAPLE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.7 mi
Christine Raben, LCSW
Clinical Social Worker
NPI 1033651559
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.8 mi
David Gunzel, D.P.M.
Podiatry
NPI 1114948544
1201 PINE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare7.8 mi
Nathan Oldham, M.D.
Family Practice
NPI 1780883843
1201 PINE ST
Eldorado, IL 62930
(618) 297-9665
✔ PECOS✔ Accepts Medicare7.8 mi
Janna Pathi, MD
General Surgery
NPI 1154309292
1201 PINE ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.8 mi
Marguerita Pearce, MSW,LCSW
Clinical Social Worker
NPI 1225388739
1408 GRANT ST
Eldorado, IL 62930
(618) 273-3361
✔ PECOS✔ Accepts Medicare7.8 mi
See all 74 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 14D2227857

Harrisburg Family Medicine · Harrisburg, IL
Active · expires Dec 12, 2026
CLIA Number14D2227857
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 13, 2024
Certificate Expiration DateDecember 12, 2026
Laboratory DirectorClayton T. Ford
Laboratory Phone(618) 273-3361
Laboratory LocationHarrisburg Family Medicine716 S Commercial St, Harrisburg, IL 62946
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 Ferrell Hospital Community Foundation's NPI number?

The NPI number for Ferrell Hospital Community Foundation is 1184202392. It was assigned to this organization in the NPPES registry on March 30, 2021. The provider is doing business as Harrisburg Family Medicine.

Where is Ferrell Hospital Community Foundation located?

Ferrell Hospital Community Foundation is located at 716 S Commercial St, Harrisburg, IL 62946. The listed phone number is (618) 294-8241.

What is Ferrell Hospital Community Foundation's specialty?

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

Is Ferrell Hospital Community Foundation enrolled in Medicare?

Yes. Ferrell Hospital Community Foundation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ferrell Hospital Community Foundation?

According to the CMS Revalidation Reassignment List (October 2026 release), 74 clinicians in 22 Medicare specialties reassign their Medicare billing to Ferrell Hospital Community Foundation. 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 (10) and Certified Registered Nurse Anesthetist (CRNA) (6). Of these, 3 practice at this address and 26 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Ferrell Hospital Community Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2227857) is associated with this NPI, valid through December 12, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ferrell Hospital Community Foundation accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Ferrell Hospital Community Foundation 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 Ferrell Hospital Community Foundation was last updated on February 12, 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.