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MYCARE EXPRESS CARE INC
NPI 1396464657
Specialist in Bloomington, IL

Active since August 22, 2022CLIA 14D2266349 · Waiver
1404 EASTLAND DR STE 103, BLOOMINGTON, IL 61701(309) 319-2393 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2025, Oct 28, 2022, Sep 8, 2022 and 1 more (4 updates tracked since 2022).

About Mycare Express Care Inc NPPES

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

MYCARE EXPRESS CARE INC (NPI 1396464657) is a healthcare organization registered as a specialist in Bloomington, Illinois and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through August 8, 2028 and lists Jibran Naseer, Owner, as its authorized official.

NPPES Registry Identity

NPI1396464657
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMYCARE EXPRESS CARE INC
Location Address1404 EASTLAND DR STE 103Bloomington, IL 61701-7904
Mailing Address1404 Eastland Dr Ste 103Bloomington, IL 61701-7904 · (309) 319-2393 · Fax (309) 585-2607
Phone(309) 319-2393
Organization SubpartNo
Authorized OfficialJibran NaseerOwner · (309) 319-2393
Enumeration DateAugust 22, 2022
Last NPPES UpdateMarch 25, 20254 updates tracked since enumeration
NPPES CertifiedMarch 25, 2025
✔ NPI 1396464657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedFamily MedicineTaxonomy 207Q00000X
1404 EASTLAND DR STE 103, Bloomington, IL 61701
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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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)

Mycare Express Care Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Mycare Express Care Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Kaitlyn Heffren, FNP-C
Nurse Practitioner
NPI 1982480638
1603 TULLAMORE AVE STE A
Bloomington, IL 61704
(309) 808-6407
✔ PECOS2.9 mi
Jibran Naseer, M.D
Family Practice
NPI 1821261892
11 RASPBERRY RD
Bloomington, IL 61704
(517) 759-6974
✔ PECOS✔ Accepts Medicare3.1 mi
Emily Schieler, APN
Nurse Practitioner
NPI 1245752237
1 DOCTORS PARK
Gibson City, IL 60936
(217) 784-2808
✔ PECOS31 mi
Carrie Alexander, FNP-C
Nurse Practitioner
NPI 1760972715
1096 1350TH ST
Lincoln, IL 62656
(217) 735-5581
✔ PECOS✔ Accepts Medicare34 mi
Amber Jones, MSN, APRN, FNP-BC
Nurse Practitioner
NPI 1396248464
1524 W GLEN AVE
Peoria, IL 61614
(309) 512-0902
✔ PECOS39 mi

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 14D2266349

Mycare Express Care Inc · Bloomington, IL
Active · expires Aug 8, 2028
CLIA Number14D2266349
Laboratory TypePhysician Office
Certificate Effective DateAugust 9, 2026
Certificate Expiration DateAugust 8, 2028
Laboratory DirectorJibran Naseer
Laboratory Phone(309) 319-2393
Laboratory LocationMycare Express Care Inc1404 Eastland Dr - Ste 103, Bloomington, IL 61701
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mycare Express Care Inc's NPI number?

The NPI number for Mycare Express Care Inc is 1396464657. It was assigned to this organization in the NPPES registry on August 22, 2022.

Where is Mycare Express Care Inc located?

Mycare Express Care Inc is located at 1404 Eastland Dr Ste 103, Bloomington, IL 61701. The listed phone number is (309) 319-2393.

What is Mycare Express Care Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mycare Express Care Inc enrolled in Medicare?

Yes. Mycare Express Care Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mycare Express Care Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Mycare Express Care 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 (4) and Family Practice (1). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mycare Express Care Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2266349) is associated with this NPI, valid through August 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mycare Express Care Inc was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.