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GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1295343374
Clinic/Center - Physical Therapy in Cissna Park, IL

Active since July 15, 2020
4/5
Overall Rating
510 PRAIRIE LN UNIT C, CISSNA PARK, IL 60924(815) 457-2006(815) 457-2016 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 2, 2025, Jul 15, 2020 (2 updates tracked since 2020).

About Gibson Community Hospital Association NPPES

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI 1295343374), doing business as Cissna Park Therapy, is a healthcare organization registered as a physical therapy in Cissna Park, Illinois and active in the NPI registry since July 2020. The organization lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1295343374
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address510 PRAIRIE LN UNIT CCissna Park, IL 60924-9704
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251
Phone(815) 457-2006
Fax(815) 457-2016
Organization SubpartYes
Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601
Enumeration DateJuly 15, 2020
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
✔ NPI 1295343374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Also ListedPhysical TherapistTaxonomy 225100000X
510 PRAIRIE LN UNIT C, Cissna Park, IL 60924
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Other Names 1

Doing Business AsCissna Park Therapy

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 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)

Gibson Community Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

200

Medicare enrollment records show 200 clinicians reassign Medicare billing to Gibson Community Hospital Association, 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 36

Diagnostic Radiology50
Nurse Practitioner40
Family Practice14
Certified Registered Nurse Anesthetist (CRNA)12
Clinical Social Worker10
Orthopedic Surgery7
Emergency Medicine5
General Surgery5
28 other specialties57

Nearest to this location (20)

See all 200
Aaron Mccray, FNP
Nurse Practitioner
NPI 1003396318
510 PRAIRIE LN
Cissna Park, IL 60924
(815) 457-2000
✔ PECOS✔ Accepts MedicareSame address
Shane Stachura, PT, MPT
Physical Therapist in Private Practice
NPI 1013154350
510 PRAIRIE LN
Cissna Park, IL 60924
(815) 457-2006
✔ Accepts MedicareSame address
Susan Gray, FNP
Nurse Practitioner
NPI 1770616559
109 N CHESTNUT
Onarga, IL 60955
(815) 268-4840
✔ PECOS✔ Accepts Medicare12 mi
Lori Knutstrom, D.P.M.
Podiatry
NPI 1295817054
912 W SEMINARY AVE
Onarga, IL 60955
(815) 268-4840
✔ PECOS✔ Accepts Medicare12 mi
Olivia Walder, APRN
Nurse Practitioner
NPI 1407543838
912 W SEMINARY AVE
Onarga, IL 60955
(815) 268-4840
✔ PECOS✔ Accepts Medicare12 mi
Kristina Dakis
Family Practice
NPI 1013303890
705 S DIXIE HWY
Hoopeston, IL 60942
(217) 283-5530
✔ PECOS✔ Accepts Medicare13 mi
Ashley Kief, FNP-C
Nurse Practitioner
NPI 1841035524
705 S DIXIE HWY
Hoopeston, IL 60942
(217) 283-5530
✔ PECOS✔ Accepts Medicare13 mi
Jamee Sprague, AGNP-C
Nurse Practitioner
NPI 1386164879
705 S DIXIE HWY
Hoopeston, IL 60942
(217) 283-5530
✔ PECOS✔ Accepts Medicare13 mi
Hunter Temple, DO
Family Practice
NPI 1962150888
227 N MARKET ST
Paxton, IL 60957
(217) 379-4864
✔ PECOS✔ Accepts Medicare13 mi
Iris Marin Rivera, MD
Family Practice
NPI 1467088377
227 N MARKET ST
Paxton, IL 60957
(217) 379-4864
✔ PECOS✔ Accepts Medicare13 mi
Justi Hudson, FNP-BC
Nurse Practitioner
NPI 1497300206
227 N MARKET ST
Paxton, IL 60957
(217) 379-4864
✔ PECOS✔ Accepts Medicare13 mi
Donald Reese, M.D.
Family Practice
NPI 1053632406
227 N MARKET ST
Paxton, IL 60957
(217) 379-4864
✔ PECOS✔ Accepts Medicare13 mi
Andrea Stark, APRN
Nurse Practitioner
NPI 1568247229
227 N MARKET ST
Paxton, IL 60957
(217) 379-4864
✔ PECOS✔ Accepts Medicare13 mi
Jason Casteel, MSW, LCSW
Clinical Social Worker
NPI 1013678564
650 E STATE ST
Paxton, IL 60957
(217) 379-0313
✔ PECOS✔ Accepts Medicare13 mi
Benjamin Weger, MD
Psychiatry
NPI 1467987289
650 E STATE ST
Paxton, IL 60957
(217) 379-0313
✔ PECOS✔ Accepts Medicare13 mi
Jennifer Hagen, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1881819639
200 E FAIRMAN AVE
Watseka, IL 60970
(815) 432-5041
✔ PECOS✔ Accepts Medicare16 mi
Leya Barrett, LCSW
Clinical Social Worker
NPI 1861671406
806 E WALNUT ST
Watseka, IL 60970
(815) 432-1078
✔ PECOS✔ Accepts Medicare16 mi
Jolene Foster
Clinical Social Worker
NPI 1568542231
806 E WALNUT ST STE A
Watseka, IL 60970
(815) 432-1078
✔ PECOS✔ Accepts Medicare16 mi
Melissa Harris, LCSW
Clinical Social Worker
NPI 1588065908
806 E WALNUT ST
Watseka, IL 60970
(815) 432-1078
✔ PECOS✔ Accepts Medicare16 mi
Young Jun Lee, MD
Family Practice
NPI 1982281978
806 E WALNUT ST
Watseka, IL 60970
(815) 432-1078
✔ PECOS✔ Accepts Medicare16 mi
See all 200 clinicians

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

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Gibson Community Hsp Annex (CMS certification number 145979), from CMS Care Compare.

Gibson Community Hsp Annex

Nursing home · Gibson City, IL
4/5 CMS Overall Rating
OwnershipNon profit - Other
CMS Certification Number145979
Certified Beds16 beds11 residents per day on average
Medicare & Medicaid Participant SinceMay 19, 1999
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
2/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
1/5
Staffing
Based on nursing staff hours relative to resident needs.
5/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
61.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 2.72 · LPN 1.17 · RN 0.94
4.83 hrs per resident per day
Weekend Nurse Staffing
4.16 hrs per resident per day
Physical Therapist Staffing
0 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
34.8%
Registered Nurse Turnover
20%
Administrators Who Have Left
In the past year.
0
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
0
Fines
2 totaling $38,279.25
Medicare Payment Denials
0
Total Penalties
2
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

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 Gibson Community Hospital Association's NPI number?

The NPI number for Gibson Community Hospital Association is 1295343374. It was assigned to this organization in the NPPES registry on July 15, 2020. The provider is doing business as Cissna Park Therapy.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 510 Prairie Ln Unit C, Cissna Park, IL 60924. The listed phone number is (815) 457-2006.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Gibson Community Hospital Association enrolled in Medicare?

Yes. Gibson Community Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gibson Community Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 200 clinicians in 36 Medicare specialties reassign their Medicare billing to Gibson Community 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 Diagnostic Radiology (50), Nurse Practitioner (40) and Family Practice (14). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Is Gibson Community Hospital Association a Medicare-certified nursing home?

Yes. Gibson Community Hsp Annex is a Medicare-certified nursing home with 16 certified beds.

What quality rating does Gibson Community Hospital Association have?

CMS rates Gibson Community Hsp Annex 4 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Gibson Community Hospital Association was last updated on July 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.