FAMILY HEALTH CARE OF CISSNA PARK
NPI 1356884993
Clinic/Center - Rural Health in Cissna Park, IL
About Family Health Care Of Cissna Park NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTH CARE OF CISSNA PARK (NPI 1356884993) is a healthcare organization registered as a rural health in Cissna Park, Illinois and active in the NPI registry since November 2016. The organization holds a CLIA Microscopy certificate valid through February 5, 2027 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 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)
Family Health Care Of Cissna Park is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
157Medicare enrollment records show 157 clinicians reassign Medicare billing to Family Health Care Of Cissna Park, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 26
Nearest to this location (20)
See all 157Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 14D2125366
Family Health Care Of Cissna Park · Cissna Park, 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 Gibson Community Hospital Association's NPI number?
The NPI number for Gibson Community Hospital Association is 1356884993. It was assigned to this organization in the NPPES registry on November 30, 2016. The provider is doing business as Family Health Care Of Cissna Park.
Where is Gibson Community Hospital Association located?
Gibson Community Hospital Association is located at 510 Prairie Ln Unit B, Cissna Park, IL 60924. The listed phone number is (815) 457-2000.
What is Gibson Community Hospital Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
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), 157 clinicians in 26 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 (53), Nurse Practitioner (34) and Certified Registered Nurse Anesthetist (CRNA) (14). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gibson Community Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2125366) is associated with this NPI, valid through February 5, 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 Gibson Community Hospital Association was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Family Health Care Of Cissna Park · NPI 1356884993
Rural Health organization in Cissna Park, Illinois. Organization record, active in the CMS NPPES registry since November 30, 2016.
## Identity
- **NPI:** 1356884993 (Entity type: Organization)
- **Enumerated:** November 30, 2016
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Gibson Community Hospital Association
- **Organization subpart:** Yes (part of Gibson Community Hospital Association)
- **Authorized official:** Matthew Ertel, CHIEF FINANCIAL OFFICER
## Practice location
- **Address:** 510 PRAIRIE LN UNIT B, Cissna Park, IL 60924-9710
- **Phone:** (815) 457-2000 · **Fax:** (815) 457-2015
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 157 clinicians in 26 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (53), Nurse Practitioner (34), Certified Registered Nurse Anesthetist (CRNA) (14); 1 practice at this address; [full list](https://npiprofile.com/npi/1356884993/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1356884993) · Data from the CMS NPPES public registry.