BUREAU COUNTY FAMILY HEALTH
NPI 1326877143
Family Medicine in Princeton, IL
About Bureau County Family Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BUREAU COUNTY FAMILY HEALTH (NPI 1326877143) is a healthcare organization registered as a family medicine in Princeton, Illinois and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through March 3, 2027 and lists Hector Manuel Gomez, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
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)
Bureau County Family Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Bureau County Family Health, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 14D2319622
Bureau County Family Health · Princeton, ILFrequently 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 Bureau County Family Health's NPI number?
The NPI number for Bureau County Family Health is 1326877143. It was assigned to this organization in the NPPES registry on July 30, 2024.
Where is Bureau County Family Health located?
Bureau County Family Health is located at 526 S Bureau Valley Pkwy, Princeton, IL 61356. The listed phone number is (815) 872-5091.
What is Bureau County Family Health's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Bureau County Family Health enrolled in Medicare?
Yes. Bureau County Family Health is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bureau County Family Health?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Bureau County Family Health, in Certified Nurse Midwife (CNM) and Nurse Practitioner. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bureau County Family Health hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2319622) is associated with this NPI, valid through March 3, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Bureau County Family Health was last updated on July 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Bureau County Family Health · NPI 1326877143
Family Medicine organization in Princeton, Illinois. Organization record, active in the CMS NPPES registry since July 30, 2024.
## Identity
- **NPI:** 1326877143 (Entity type: Organization)
- **Enumerated:** July 30, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** Yes (part of County Of Bureau)
- **Authorized official:** Hector Gomez, ADMINISTRATOR
## Practice location
- **Address:** 526 S BUREAU VALLEY PKWY, Princeton, IL 61356-2046
- **Phone:** (815) 872-5091 · **Fax:** (815) 872-5092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Certified Nurse Midwife (CNM) (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1326877143) · Data from the CMS NPPES public registry.