DEACONESS ILLINOIS RURAL HEALTH CLINIC ANNA
NPI 1184340408
Clinic/Center - Rural Health in Anna, IL

Active since October 18, 2022
517 N MAIN ST RM 22, ANNA, IL 62906(618) 833-2295(618) 833-9058 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Jan 5, 2024, Dec 27, 2022 and 3 more (6 updates tracked since 2022).

About Deaconess Illinois Rural Health Clinic Anna NPPES

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

DEACONESS ILLINOIS RURAL HEALTH CLINIC ANNA (NPI 1184340408) is a healthcare organization registered as a rural health in Anna, Illinois and active in the NPI registry since October 2022. The organization lists Amber Lipe, Cfo, as its authorized official.

NPPES Registry Identity

NPI1184340408
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameDEACONESS ILLINOIS UNION COUNTY HOSPITAL INC
Location Address517 N MAIN ST RM 22Anna, IL 62906-1668
Mailing AddressPo Box 34141Belfast, ME 04915-0619 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 833-9058
Organization SubpartNo
Authorized OfficialAmber LipeCfo · (618) 998-7020
Enumeration DateOctober 18, 2022
Last NPPES UpdateAugust 7, 20246 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1184340408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
517 N MAIN ST RM 22, Anna, IL 62906

Other Names 3

Doing Business AsDeaconess Illinois Rural Health Clinic Anna
Doing Business AsDeaconess Illinois Union County Family Clinic
Doing Business AsUnion County Hospital Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Deaconess Illinois Rural Health Clinic Anna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Deaconess Illinois Rural Health Clinic Anna, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner5
Family Practice1
Hospitalist1
Interventional Cardiology1
Neurology1
Podiatry1

Clinicians, nearest first (10)

Nurse Practitioner
NPI 1508636200
517 N MAIN ST
Anna, IL 62906
(618) 833-2295
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1700906021
517 N MAIN ST
Anna, IL 62906
(618) 833-2295
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1326314634
374 E GRAND AVE
Carbondale, IL 62901
(618) 453-3311
✔ PECOS23 mi
Family Practice
NPI 1508848284
3411 PROFESSIONAL PARK DR
Marion, IL 62959
(618) 997-2161
✔ PECOS✔ Accepts Medicare24 mi
Podiatry
NPI 1104919075
3403 PROFESSIONAL PARK DR
Marion, IL 62959
(618) 993-0333
✔ PECOS✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1053854729
3331 W DEYOUNG ST STE 301
Marion, IL 62959
(618) 998-7239
✔ PECOS✔ Accepts Medicare24 mi
Interventional Cardiology
NPI 1497746390
203 BAILEY LN
Benton, IL 62812
(618) 899-3900
✔ PECOS✔ Accepts Medicare42 mi
Nurse Practitioner
NPI 1063256857
4000 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 246-2910
✔ PECOS✔ Accepts Medicare61 mi
Neurology
NPI 1366608713
2845 GREENBRIER RD
Green Bay, WI 54311
(920) 288-8000
✔ PECOS✔ Accepts Medicare489 mi
Hospitalist
NPI 1962498741
364 WHITE OAK ST
Asheboro, NC 27203
(336) 625-5151
✔ PECOS✔ Accepts Medicare538 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Deaconess Illinois Union County Hospital Inc's NPI number?

The NPI number for Deaconess Illinois Union County Hospital Inc is 1184340408. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Deaconess Illinois Rural Health Clinic Anna, Deaconess Illinois Union County Family Clinic and Union County Hospital Clinic.

Where is Deaconess Illinois Union County Hospital Inc located?

Deaconess Illinois Union County Hospital Inc is located at 517 N Main St Rm 22, Anna, IL 62906. The listed phone number is (618) 833-2295.

What is Deaconess Illinois Union County Hospital Inc's specialty?

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

Is Deaconess Illinois Union County Hospital Inc enrolled in Medicare?

Yes. Deaconess Illinois Union County Hospital Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Illinois Union County Hospital Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 6 Medicare specialties reassign their Medicare billing to Deaconess Illinois Union County Hospital 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 Nurse Practitioner (5), Family Practice (1) and Hospitalist (1). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Deaconess Illinois Union County Hospital Inc was last updated on August 7, 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.