IMH ST. ANNE CLINIC
NPI 1215650528
General Practice in Saint Anne, IL
About Imh St. Anne Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMH ST. ANNE CLINIC (NPI 1215650528) is a healthcare organization registered as a general practice in Saint Anne, Illinois and active in the NPI registry since September 2022. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Michelle Fox, Director Medical Staff & It Svcs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Imh St. Anne Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
77Medicare enrollment records show 77 clinicians reassign Medicare billing to Imh St. Anne Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 11
Nearest to this location (20)
See all 77Source: 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 14D2286737
Imh St Anne Clinic · Saint Anne, 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 Iroquois Memorial Hospital And Resident Home's NPI number?
The NPI number for Iroquois Memorial Hospital And Resident Home is 1215650528. It was assigned to this organization in the NPPES registry on September 21, 2022. The provider is doing business as Imh St. Anne Clinic.
Where is Iroquois Memorial Hospital And Resident Home located?
Iroquois Memorial Hospital And Resident Home is located at 135 W Station St, Saint Anne, IL 60964. The listed phone number is (815) 432-5841.
What is Iroquois Memorial Hospital And Resident Home's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Iroquois Memorial Hospital And Resident Home enrolled in Medicare?
Yes. Iroquois Memorial Hospital And Resident Home is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Iroquois Memorial Hospital And Resident Home?
According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 11 Medicare specialties reassign their Medicare billing to Iroquois Memorial Hospital And Resident Home. 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 Emergency Medicine (28), Nurse Practitioner (16) and Family Practice (11). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Iroquois Memorial Hospital And Resident Home hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2286737) is associated with this NPI, valid through August 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Iroquois Memorial Hospital And Resident Home accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Iroquois Memorial Hospital And Resident Home 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 Iroquois Memorial Hospital And Resident Home was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Imh St. Anne Clinic · NPI 1215650528
General Practice organization in Saint Anne, Illinois. Organization record, active in the CMS NPPES registry since September 21, 2022.
## Identity
- **NPI:** 1215650528 (Entity type: Organization)
- **Enumerated:** September 21, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Legal business name:** Iroquois Memorial Hospital And Resident Home
- **Organization subpart:** No
- **Authorized official:** Michelle Fox, DIRECTOR MEDICAL STAFF & IT SVCS
## Practice location
- **Address:** 135 W STATION ST, Saint Anne, IL 60964-7251
- **Phone:** (815) 432-5841
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 77 clinicians in 11 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (28), Nurse Practitioner (16), Family Practice (11); [full list](https://npiprofile.com/npi/1215650528/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 26, 2023
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1215650528) · Data from the CMS NPPES public registry.