PREMISE HEALTH OF ILLINOIS MEDICAL PC
NPI 1427366921
Clinic/Center - Primary Care in Mount Vernon, IL
About Premise Health Of Illinois Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PREMISE HEALTH OF ILLINOIS MEDICAL PC (NPI 1427366921), doing business as Mount Vernon Health Center Mt Vernon, is a healthcare organization registered as a primary care in Mount Vernon, Illinois and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through October 6, 2028 and lists Edward William Schwartz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Premise Health Of Illinois Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
64Medicare enrollment records show 64 clinicians reassign Medicare billing to Premise Health Of Illinois Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 64Source: 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 14D2014391
Premise Health Of Illinois Medical, Sc · Mount Vernon, 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 Premise Health Of Illinois Medical PC's NPI number?
The NPI number for Premise Health Of Illinois Medical PC is 1427366921. It was assigned to this organization in the NPPES registry on September 17, 2010. The provider is doing business as Mount Vernon Health Center Mt Vernon and Mount Vernon Healthy Living Center.
Where is Premise Health Of Illinois Medical PC located?
Premise Health Of Illinois Medical PC is located at 5100 Lake Terrance NE, Mount Vernon, IL 62864. The listed phone number is (618) 899-5001.
What is Premise Health Of Illinois Medical PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Premise Health Of Illinois Medical PC enrolled in Medicare?
Yes. Premise Health Of Illinois Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Premise Health Of Illinois Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 64 clinicians in 7 Medicare specialties reassign their Medicare billing to Premise Health Of Illinois Medical PC. 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 (32), Family Practice (13) and Physical Therapist in Private Practice (9). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Premise Health Of Illinois Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D2014391) is associated with this NPI, valid through October 6, 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 Premise Health Of Illinois Medical PC was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Premise Health Of Illinois Medical Pc · NPI 1427366921
Primary Care organization in Mount Vernon, Illinois. Organization record, active in the CMS NPPES registry since September 17, 2010.
## Identity
- **NPI:** 1427366921 (Entity type: Organization)
- **Enumerated:** September 17, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Also known as:** Mount Vernon Health Center Mt Vernon (Doing Business As); Mount Vernon Healthy Living Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Edward Schwartz, PRESIDENT
## Practice location
- **Address:** 5100 LAKE TERRANCE NE, Mount Vernon, IL 62864-9665
- **Phone:** (618) 899-5001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 64 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Family Practice (13), Physical Therapist in Private Practice (9); 1 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1427366921/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 4, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1427366921) · Data from the CMS NPPES public registry.