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MODERN HEALTH LLC
NPI 1275231276
Family Medicine in Spring Grove, IL

Active since February 20, 2023CLIA 14D2285379 · Waiver
2440 HIGHVIEW ST, SPRING GROVE, IL 60081(815) 900-7330(928) 268-0163 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2025, Apr 3, 2023, Feb 20, 2023 (3 updates tracked since 2023).

About Modern Health Llc NPPES

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

MODERN HEALTH LLC (NPI 1275231276) is a healthcare organization registered as a family medicine in Spring Grove, Illinois and active in the NPI registry since February 2023. The organization holds a CLIA Waiver certificate valid through July 10, 2027 and lists Nicole J Hendrickson, Aprn, as its authorized official.

NPPES Registry Identity

NPI1275231276
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMODERN HEALTH LLC
Location Address2440 HIGHVIEW STSpring Grove, IL 60081-9609
Mailing Address6703 Broadway StRichmond, IL 60071-9786 · (847) 417-7987 · Fax (928) 268-0163
Phone(815) 900-7330
Fax(928) 268-0163
Organization SubpartNo
Authorized OfficialNicole J HendricksonAprn · (847) 417-7987
Enumeration DateFebruary 20, 2023
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1275231276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedNurse Practitioner · Community HealthTaxonomy 363LC1500X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
2440 HIGHVIEW ST, Spring Grove, IL 60081
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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 MULTIPLE 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)

Modern Health Llc 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 Modern Health LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nicole Hendrickson, FPA FNP-BC
Nurse Practitioner
NPI 1881242725
2440 HIGHVIEW ST
Spring Grove, IL 60081
(815) 900-7330
✔ PECOS✔ Accepts MedicareSame address
Beth Kirby, APN
Nurse Practitioner
NPI 1912652736
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare13 mi

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 14D2285379

Modern Health LLC · Spring Grove, IL
Active · expires Jul 10, 2027
CLIA Number14D2285379
Laboratory TypePhysician Office
Certificate Effective DateJuly 11, 2025
Certificate Expiration DateJuly 10, 2027
Laboratory DirectorNicole J. Hendrickson
Laboratory Phone(815) 900-7330
Laboratory LocationModern Health LLC2440 Highview St, Spring Grove, IL 60081
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 Modern Health LLC's NPI number?

The NPI number for Modern Health LLC is 1275231276. It was assigned to this organization in the NPPES registry on February 20, 2023.

Where is Modern Health LLC located?

Modern Health LLC is located at 2440 Highview St, Spring Grove, IL 60081. The listed phone number is (815) 900-7330.

What is Modern Health LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Modern Health LLC enrolled in Medicare?

Yes. Modern Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Modern Health LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Modern Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2285379) is associated with this NPI, valid through July 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modern Health LLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.