MEMORIAL MEDICAL AUGUSTA CLINIC
NPI 1275979031
Nurse Practitioner - Family in Augusta, IL
About Memorial Medical Augusta Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL MEDICAL AUGUSTA CLINIC (NPI 1275979031) is a healthcare organization registered as a family in Augusta, Illinois and active in the NPI registry since May 2013. The organization lists Jessie Fifer, Special Projects Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Memorial Medical Augusta Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Memorial Medical Augusta Clinic, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 78Source: 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 Memorial Hospital Association's NPI number?
The NPI number for Memorial Hospital Association is 1275979031. It was assigned to this organization in the NPPES registry on May 20, 2013. The provider is doing business as Memorial Medical Augusta Clinic.
Where is Memorial Hospital Association located?
Memorial Hospital Association is located at 204 Center St, Augusta, IL 62311. The listed phone number is (217) 392-2108.
What is Memorial Hospital Association's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Memorial Hospital Association enrolled in Medicare?
Yes. Memorial Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 28 Medicare specialties reassign their Medicare billing to Memorial 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 Nurse Practitioner (15), Emergency Medicine (14) and Family Practice (12). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Memorial Hospital Association was last updated on May 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Memorial Medical Augusta Clinic · NPI 1275979031
Family organization in Augusta, Illinois. Organization record, active in the CMS NPPES registry since May 20, 2013.
## Identity
- **NPI:** 1275979031 (Entity type: Organization)
- **Enumerated:** May 20, 2013
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Legal business name:** Memorial Hospital Association
- **Organization subpart:** Yes (part of Memorial Hospital Association)
- **Authorized official:** Jessie Fifer, SPECIAL PROJECTS COORDINATOR
## Practice location
- **Address:** 204 CENTER ST, Augusta, IL 62311-1228
- **Phone:** (217) 392-2108 · **Fax:** (217) 392-2110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Emergency Medicine (14), Family Practice (12); 1 practice within 10 miles; [full list](https://npiprofile.com/npi/1275979031/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1275979031) · Data from the CMS NPPES public registry.