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OSF SAINT PAUL MEDICAL CENTER
NPI 1417973900
Emergency Medicine in Mendota, IL

Active since July 15, 2006
1401 EAST 12TH STREET, MENDOTA, IL 61342(815) 539-7461(815) 538-5516 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2023, Feb 14, 2022, Sep 25, 2020 (3 updates tracked since 2020).

About Osf Saint Paul Medical Center NPPES

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

OSF SAINT PAUL MEDICAL CENTER (NPI 1417973900) is a healthcare organization registered as an emergency medicine in Mendota, Illinois and active in the NPI registry since July 2006. The organization lists Robert C. Sehring, Ceo, Osf Healthcare System, as its authorized official.

NPPES Registry Identity

NPI1417973900
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMENDOTA COMMUNITY HOSPITAL
Location Address1401 EAST 12TH STREETMendota, IL 61342-9216
Mailing Address124 Sw Adams StPeoria, IL 61602-1320 · (309) 655-2850 · Fax (309) 655-4878
Phone(815) 539-7461
Fax(815) 538-5516
Organization SubpartNo
Authorized OfficialRobert C. SehringCeo, Osf Healthcare System · (309) 655-2850
Enumeration DateJuly 15, 2006
Last NPPES UpdateMarch 18, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 29, 2024
✔ NPI 1417973900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IL · 0001537
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1401 EAST 12TH STREET, Mendota, IL 61342
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Other Names 2

Doing Business AsOsf Saint Paul Medical Center
Other NameOsf Medical Grou-mendota

Other Identifiers 2

Medicaid000IL
OtherCI2549Railroad Medicare

Group Practice 1

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)

Osf Saint Paul Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

95

Medicare enrollment records show 95 clinicians reassign Medicare billing to Osf Saint Paul Medical Center, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 13

Nurse Practitioner38
Family Practice19
Emergency Medicine18
Internal Medicine7
Anesthesiology2
Certified Registered Nurse Anesthetist (CRNA)2
Hospitalist2
Medical Oncology2
5 other specialties5

Nearest to this location (20)

See all 95
Amy Matheis Soliman, DO
Family Practice
NPI 1376566539
1405 EAST 12TH STREET SUITE 600
Mendota, IL 61342
(815) 538-7200
✔ PECOS✔ Accepts MedicareSame address
Maritza Estrada-O'brien
Family Practice
NPI 1184187767
1405 E 12TH ST STE 600
Mendota, IL 61342
(815) 538-7200
✔ PECOS✔ Accepts MedicareSame address
Katherine Ford, CRNA
Certified Registered Nurse Anesthetist (CRNA)
NPI 1073869475
1401 E 12TH ST
Mendota, IL 61342
(815) 343-1925
✔ PECOS✔ Accepts MedicareSame address
Tracie Kelly, APRN
Nurse Practitioner
NPI 1578197513
1401 E 12TH ST
Mendota, IL 61342
(815) 539-7461
✔ PECOS✔ Accepts MedicareSame address
Eric Kivisto, DO
General Surgery
NPI 1447257316
1405 E 12TH ST SUITE 500
Mendota, IL 61342
(815) 539-1789
✔ PECOS✔ Accepts MedicareSame address
Stacy Piller, APN
Nurse Practitioner
NPI 1508319914
1405 E 12TH ST STE 600
Mendota, IL 61342
(815) 538-7200
✔ PECOS✔ Accepts MedicareSame address
Joy Preciado
Nurse Practitioner
NPI 1306216098
1405 E 12TH ST STE 300
Mendota, IL 61342
(815) 539-3141
✔ PECOS✔ Accepts Medicare0.2 mi
Marcela Lemus, FNP-C
Nurse Practitioner
NPI 1962175562
1811 STROBLE AVE
Mendota, IL 61342
(407) 452-9570
✔ PECOS✔ Accepts Medicare0.9 mi
Leonardo Lopez, M.D.
Family Practice
NPI 1376643007
1311 MEMORIAL DR STE 500
Mendota, IL 61342
(815) 539-3141
✔ PECOS✔ Accepts Medicare1.4 mi
Susan Olsen, APRN FNP-C
Nurse Practitioner
NPI 1508491663
537 N 3850TH RD
Mendota, IL 61342
(815) 993-7378
✔ PECOS✔ Accepts Medicare4.9 mi
Jamie Bond, FNP
Nurse Practitioner
NPI 1679024111
2970 CHARTRES ST
La Salle, IL 61301
(815) 223-0196
✔ PECOS✔ Accepts Medicare13 mi
Kara Fess, MD
Family Practice
NPI 1700843950
2970 CHARTRES ST
La Salle, IL 61301
(815) 223-0196
✔ PECOS✔ Accepts Medicare13 mi
Tiffany Shinnick
Nurse Practitioner
NPI 1003388463
1650 MIDTOWN RD
Peru, IL 61354
(815) 220-2645
✔ PECOS✔ Accepts Medicare14 mi
Amy Corsolini
Nurse Practitioner
NPI 1992407738
1650 MIDTOWN RD
Peru, IL 61354
(816) 220-2645
✔ PECOS✔ Accepts Medicare14 mi
Grant Reed, DO
Family Practice
NPI 1215354246
1650 MIDTOWN RD
Peru, IL 61354
(815) 223-2807
✔ PECOS✔ Accepts Medicare14 mi
Andrew Zidow, MD
Family Practice
NPI 1700141009
1650 MIDTOWN RD
Peru, IL 61354
(815) 220-1122
✔ PECOS✔ Accepts Medicare15 mi
Michael Morrow, MD
Internal Medicine
NPI 1013920420
600 E 1ST ST
Spring Valley, IL 61362
(815) 663-2811
✔ PECOS✔ Accepts Medicare16 mi
Robert Morrow, MD
Internal Medicine
NPI 1295747137
600 E 1ST ST
Spring Valley, IL 61362
(815) 663-2811
✔ PECOS✔ Accepts Medicare16 mi
Natasha Rinaldi, LCSW
Clinical Social Worker
NPI 1295499200
424 W MADISON ST
Ottawa, IL 61350
(815) 431-3005
✔ PECOS✔ Accepts Medicare20 mi
Lisa Gustafson, MS/LCPC
Mental Health Counselor
NPI 1962666875
424 W MADISON ST
Ottawa, IL 61350
(815) 431-3022
✔ PECOS✔ Accepts Medicare20 mi
See all 95 clinicians

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 Mendota Community Hospital's NPI number?

The NPI number for Mendota Community Hospital is 1417973900. It was assigned to this organization in the NPPES registry on July 15, 2006. The provider is doing business as Osf Saint Paul Medical Center. The provider is also known as OSF Medical Grou-Mendota.

Where is Mendota Community Hospital located?

Mendota Community Hospital is located at 1401 East 12th Street, Mendota, IL 61342. The listed phone number is (815) 539-7461.

What is Mendota Community Hospital's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mendota Community Hospital enrolled in Medicare?

Yes. Mendota Community Hospital is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mendota Community Hospital?

According to the CMS Revalidation Reassignment List (October 2026 release), 95 clinicians in 13 Medicare specialties reassign their Medicare billing to Mendota Community Hospital. 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 (38), Family Practice (19) and Emergency Medicine (18). Of these, 6 practice at this address and 10 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 Mendota Community Hospital was last updated on March 18, 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.