RIVER TO RIVER HEART GROUP
NPI 1295442556
Family Medicine in Mount Vernon, IL

Active since November 04, 2022
209 CROSSROADS PL, MOUNT VERNON, IL 62864(618) 244-1937(618) 241-9079 Get Directions Write a Review

NPPES record last updated: January 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 26, 2023, Dec 2, 2022, Nov 9, 2022 and 1 more (4 updates tracked since 2022).

About River To River Heart Group NPPES

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

RIVER TO RIVER HEART GROUP (NPI 1295442556), doing business as Deaconess Il Specialty Crossroads Pl, is a healthcare organization registered as a family medicine in Mount Vernon, Illinois and active in the NPI registry since November 2022. The organization lists Kyle Dillman, Secretary Treasurer, as its authorized official.

NPPES Registry Identity

NPI1295442556
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDEACONESS ILLINOIS SPECIALTY CLINIC, INC.
Location Address209 CROSSROADS PLMount Vernon, IL 62864-6545
Mailing AddressPo Box 34266Belfast, ME 04915-0620 · (812) 450-6815 · Fax (812) 450-6822
Fax(618) 241-9079
Organization SubpartNo
Authorized OfficialKyle DillmanSecretary Treasurer · (812) 450-7399
Enumeration DateNovember 4, 2022
Last NPPES UpdateJanuary 26, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2023
✔ NPI 1295442556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ 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 ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
209 CROSSROADS PL, Mount Vernon, IL 62864

Other Names 2

Other NameRiver To River Heart Group
Doing Business AsDeaconess Il Specialty Crossroads Pl

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)

River To River Heart Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

227

Medicare enrollment records show 227 clinicians reassign Medicare billing to River To River Heart Group, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 22 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 29

Nurse Practitioner56
Family Practice26
Internal Medicine24
Emergency Medicine19
Hospitalist16
Gastroenterology11
General Surgery9
Urology9
21 other specialties57

Nearest to this location (20)

See all 227
Nurse Practitioner
NPI 1346956828
209 CROSSROADS PL
Mount Vernon, IL 62864
(618) 322-5053
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942854526
209 CROSSROADS PL STE 120
Mount Vernon, IL 62864
(618) 918-6045
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538988829
209 CROSSROADS PL STE 120
Mount Vernon, IL 62864
(618) 918-6045
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1417909060
209 CROSSROADS PL SUITE 110
Mount Vernon, IL 62864
(618) 244-6710
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417555897
209 CROSSROADS PL STE 100
Mount Vernon, IL 62864
(618) 241-9071
✔ PECOSSame address
Emergency Medicine
NPI 1912957051
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 241-8798
✔ PECOS✔ Accepts Medicare0.2 mi
Hematology/Oncology
NPI 1093070302
8 DOCTORS PARK RD
Mount Vernon, IL 62864
(618) 244-1380
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1932881331
3111 BROADWAY ST
Mount Vernon, IL 62864
(618) 241-0333
✔ PECOS✔ Accepts Medicare0.4 mi
Nurse Practitioner
NPI 1962204503
3111 BROADWAY ST
Mount Vernon, IL 62864
(618) 241-0300
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1144226085
4218 LINCOLNSHIRE DR
Mount Vernon, IL 62864
(618) 242-8480
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1063256857
4000 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 246-2910
✔ PECOS✔ Accepts Medicare0.5 mi
Otolaryngology
NPI 1366491193
4117 S WATER TOWER PL SUITE C
Mount Vernon, IL 62864
(618) 242-0672
✔ PECOS✔ Accepts Medicare0.5 mi
Nurse Practitioner
NPI 1306792981
4117 S WATER TOWER PL
Mount Vernon, IL 62864
(618) 242-0672
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1669664843
2712 BROADWAY
Mt Vernon, IL 62864
(618) 244-2000
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1811579287
4200 WILLIAMSON PL STE A
Mount Vernon, IL 62864
(618) 532-6439
✔ PECOS✔ Accepts Medicare0.6 mi
Qualified Audiologist
NPI 1164472155
4117 S WATER TOWER PL SUITE C
Mount Vernon, IL 62864
(618) 242-0672
✔ Accepts Medicare0.7 mi
Family Practice
NPI 1689788630
4105 N WATER TOWER PL
Mount Vernon, IL 62864
(618) 244-9495
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1487271557
2920 VETERANS MEMORIAL DR
Mount Vernon, IL 62864
(618) 244-6544
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1205226560
2 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(618) 899-3607
✔ PECOS✔ Accepts Medicare1.1 mi
Hospitalist
NPI 1346734043
1 GOOD SAMARITAN WAY
Mount Vernon, IL 62864
(309) 339-2906
✔ PECOS✔ Accepts Medicare1.1 mi
See all 227 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 Deaconess Illinois Specialty Clinic, Inc.'s NPI number?

The NPI number for Deaconess Illinois Specialty Clinic, Inc. is 1295442556. It was assigned to this organization in the NPPES registry on November 4, 2022. The provider is doing business as Deaconess IL Specialty Crossroads Pl. The provider is also known as River To River Heart Group.

Where is Deaconess Illinois Specialty Clinic, Inc. located?

Deaconess Illinois Specialty Clinic, Inc. is located at 209 Crossroads Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-1937.

What is Deaconess Illinois Specialty Clinic, Inc.'s specialty?

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

Is Deaconess Illinois Specialty Clinic, Inc. enrolled in Medicare?

Yes. Deaconess Illinois Specialty Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Deaconess Illinois Specialty Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 227 clinicians in 29 Medicare specialties reassign their Medicare billing to Deaconess Illinois Specialty Clinic, Inc.. 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 (56), Family Practice (26) and Internal Medicine (24). Of these, 5 practice at this address and 22 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 Deaconess Illinois Specialty Clinic, Inc. was last updated on January 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.