DEACONESS ILLINOIS CROSSROADS INC
NPI 1316663602
Clinic/Center - Rural Health in Mount Vernon, IL
About Deaconess Illinois Crossroads Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS ILLINOIS CROSSROADS INC (NPI 1316663602), doing business as Crossroads Internal Medicine, is a healthcare organization registered as a rural health in Mount Vernon, Illinois and active in the NPI registry since October 2022. The organization lists Jason Hinkle, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Illinois Crossroads Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Deaconess Illinois Crossroads Inc, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
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 Crossroads Inc's NPI number?
The NPI number for Deaconess Illinois Crossroads Inc is 1316663602. It was assigned to this organization in the NPPES registry on October 18, 2022. The provider is doing business as Crossroads Internal Medicine, Deaconess Illinois Crossroads Family Clinic Mt. Vernon and Deaconess Illinois Rural Health Clinic Mt. Vernon.
Where is Deaconess Illinois Crossroads Inc located?
Deaconess Illinois Crossroads Inc is located at 4101 N Water Tower Pl, Mount Vernon, IL 62864. The listed phone number is (618) 244-4313.
What is Deaconess Illinois Crossroads Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Deaconess Illinois Crossroads Inc enrolled in Medicare?
Yes. Deaconess Illinois Crossroads Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Illinois Crossroads Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Deaconess Illinois Crossroads 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 (11), Family Practice (4) and Internal Medicine (2). Of these, 7 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 Deaconess Illinois Crossroads Inc was last updated on February 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Deaconess Illinois Crossroads Inc · NPI 1316663602
Rural Health organization in Mount Vernon, Illinois. Organization record, active in the CMS NPPES registry since October 18, 2022.
## Identity
- **NPI:** 1316663602 (Entity type: Organization)
- **Enumerated:** October 18, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Also known as:** Crossroads Internal Medicine (Doing Business As); Deaconess Illinois Crossroads Family Clinic Mt. Vernon (Doing Business As); Deaconess Illinois Rural Health Clinic Mt. Vernon (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Jason Hinkle, CFO
## Practice location
- **Address:** 4101 N WATER TOWER PL, Mount Vernon, IL 62864-6296
- **Phone:** (618) 244-4313 · **Fax:** (618) 246-1247
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (4), Internal Medicine (2); 7 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1316663602) · Data from the CMS NPPES public registry.