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OUR MEDICAL CENTER LLC
NPI 1316439722
Nurse Practitioner - Psychiatric/Mental Health in Saint Charles, IL

Active since May 31, 2018
451 DUNHAM RD STE 300, SAINT CHARLES, IL 60174(630) 521-3110(630) 296-8965 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2021, Mar 9, 2019 (2 updates tracked since 2019).

About Our Medical Center Llc NPPES

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

OUR MEDICAL CENTER LLC (NPI 1316439722) is a healthcare organization registered as a psychiatric/mental health in Saint Charles, Illinois and active in the NPI registry since May 2018. The organization lists Cecilia Berumen, Nurse Practitioner / Psych, as its authorized official.

NPPES Registry Identity

NPI1316439722
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameOUR MEDICAL CENTER LLC
Location Address451 DUNHAM RD STE 300Saint Charles, IL 60174-1431
Mailing Address451 Dunham Rd Ste 300Saint Charles, IL 60174-1431 · (630) 521-3110 · Fax (630) 296-8965
Phone(630) 521-3110
Fax(630) 296-8965
Organization SubpartNo
Authorized OfficialCecilia BerumenNurse Practitioner / Psych · (630) 521-3110
Enumeration DateMay 31, 2018
Last NPPES UpdateJuly 8, 20212 updates tracked since enumeration
NPPES CertifiedDecember 7, 2020
✔ NPI 1316439722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209013778
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209013778 (IL)
451 DUNHAM RD STE 300, Saint Charles, IL 60174
Open in Google Maps ↗

Other Identifiers 1

Other1437547858IL · Blue Cross Blue Shield

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)

Our Medical Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Our Medical Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Cecilia Berumen, APRN FPA
Nurse Practitioner
NPI 1548621642
451 DUNHAM RD STE 300
Saint Charles, IL 60174
(630) 521-3110
✔ PECOSSame address

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 Our Medical Center LLC's NPI number?

The NPI number for Our Medical Center LLC is 1316439722. It was assigned to this organization in the NPPES registry on May 31, 2018.

Where is Our Medical Center LLC located?

Our Medical Center LLC is located at 451 Dunham Rd Ste 300, Saint Charles, IL 60174. The listed phone number is (630) 521-3110.

What is Our Medical Center LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Our Medical Center LLC enrolled in Medicare?

Yes. Our Medical Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Our Medical Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Our Medical Center 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Our Medical Center LLC was last updated on July 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.