JACKSONVILLE PROFESSIONAL FEES
NPI 1235864810
Clinic/Center - Multi-Specialty in Jacksonville, IL

Active since July 19, 2022
1600 W WALNUT ST, JACKSONVILLE, IL 62650(217) 245-9541 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 29, 2022, Jul 19, 2022 (2 updates tracked since 2022).

About Jacksonville Professional Fees NPPES

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

JACKSONVILLE PROFESSIONAL FEES (NPI 1235864810) is a healthcare organization registered as a multi-specialty in Jacksonville, Illinois and active in the NPI registry since July 2022. The organization lists Ann Bowling, Director, as its authorized official.

NPPES Registry Identity

NPI1235864810
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NamePASSAVANT MEMORIAL AREA HOSPITAL ASSOCIATION
Location Address1600 W WALNUT STJacksonville, IL 62650-1136
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (217) 245-9541 · Fax (217) 757-7550
Organization SubpartNo
Authorized OfficialAnn BowlingDirector · (217) 588-2626
Enumeration DateJuly 19, 2022
Last NPPES UpdateJanuary 9, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1235864810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X
Also ListedRadiology · Radiation OncologyTaxonomy 2085R0001X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1600 W WALNUT ST, Jacksonville, IL 62650

Other Names 1

Doing Business AsJacksonville Professional Fees

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)

Jacksonville Professional Fees is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Jacksonville Professional Fees, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 5

Emergency Medicine26
Nurse Practitioner17
Infectious Disease2
Internal Medicine2
Radiation Oncology1

Nearest to this location (20)

See all 48
Emergency Medicine
NPI 1316065873
1600 W WALNUT ST
Jacksonville, IL 62650
(217) 245-9541
✔ PECOSSame address
Emergency Medicine
NPI 1477129542
1600 W WALNUT ST
Jacksonville, IL 62650
(217) 245-9541
✔ PECOS✔ Accepts MedicareSame address
Emergency Medicine
NPI 1568471274
2901 OLD JACKSONVILLE RD
Springfield, IL 62704
(217) 698-9722
✔ PECOS✔ Accepts Medicare29 mi
Internal Medicine
NPI 1346357886
2801 MATHERS RD
Springfield, IL 62711
(217) 789-3600
✔ PECOS29 mi
Infectious Disease
NPI 1528324738
809 S CLEVELAND AVE
Springfield, IL 62704
(217) 836-2217
✔ PECOS✔ Accepts Medicare31 mi
Nurse Practitioner
NPI 1831798933
751 N RUTLEDGE ST
Springfield, IL 62702
(217) 545-8000
✔ PECOS✔ Accepts Medicare32 mi
Nurse Practitioner
NPI 1962337204
701 N 1ST ST
Springfield, IL 62781
(217) 788-3000
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1174887384
701 N 1ST ST
Springfield, IL 62702
(217) 545-3518
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1710545520
701 N 1ST ST
Springfield, IL 62781
(217) 788-3000
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1508202045
701 N 1ST ST
Springfield, IL 62781
(217) 528-7541
✔ PECOS33 mi
Emergency Medicine
NPI 1508359399
701 N 1ST ST STE D220
Springfield, IL 62702
(217) 545-3518
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1811587314
701 N 1ST ST
Springfield, IL 62781
(217) 788-3000
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1366937575
701 N 1ST ST STE D220
Springfield, IL 62702
(217) 545-3518
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1043627219
701 N 1ST ST
Springfield, IL 62702
(217) 545-3518
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1659928646
701 N 1ST ST
Springfield, IL 62781
(217) 788-3030
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1043874761
701 N 1ST ST
Springfield, IL 62781
(217) 788-3000
✔ PECOS✔ Accepts Medicare33 mi
Nurse Practitioner
NPI 1619414034
701 N 1ST ST
Springfield, IL 62781
(217) 788-3156
✔ PECOS33 mi
Nurse Practitioner
NPI 1841446770
701 N 1ST ST
Springfield, IL 62781
(217) 788-3334
✔ PECOS✔ Accepts Medicare33 mi
Internal Medicine
NPI 1942736053
2300 N EDWARD ST
Decatur, IL 62526
(217) 876-8121
✔ PECOS✔ Accepts Medicare70 mi
Infectious Disease
NPI 1083903645
304 W HAY ST STE 212
Decatur, IL 62526
(217) 876-4390
✔ PECOS✔ Accepts Medicare70 mi
See all 48 clinicians

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 Passavant Memorial Area Hospital Association's NPI number?

The NPI number for Passavant Memorial Area Hospital Association is 1235864810. It was assigned to this organization in the NPPES registry on July 19, 2022. The provider is doing business as Jacksonville Professional Fees.

Where is Passavant Memorial Area Hospital Association located?

Passavant Memorial Area Hospital Association is located at 1600 W Walnut St, Jacksonville, IL 62650. The listed phone number is (217) 245-9541.

What is Passavant Memorial Area Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Passavant Memorial Area Hospital Association enrolled in Medicare?

Yes. Passavant Memorial Area Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Passavant Memorial Area Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 5 Medicare specialties reassign their Medicare billing to Passavant Memorial Area Hospital Association. 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 (26), Nurse Practitioner (17) and Infectious Disease (2). 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 Passavant Memorial Area Hospital Association was last updated on January 9, 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.