PREMISE HEALTH OF ILLINOIS MEDICAL PC
Medicare Clinicians for NPI 1427366921
Clinic/Center - Primary Care in Mount Vernon, IL

Active since September 17, 2010CLIA 14D2014391 · Waiver
5100 LAKE TERRANCE NE, MOUNT VERNON, IL 62864(618) 899-5001 Get Directions

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2026, Aug 17, 2023, Aug 15, 2022 and 1 more (4 updates tracked since 2020).

Clinicians Billing Medicare Through This Organization CMS

Clinicians who reassign their Medicare billing to this organization, per CMS enrollment records.

Premise Health Of Illinois Medical PC in Mount Vernon, IL bills Medicare for 64 clinicians across 7 Medicare specialties. The largest specialties are Nurse Practitioner with 32, Family Practice with 13 and Physical Therapist in Private Practice with 9. Of these, 1 practice at this address and 4 within 10 miles. Search by name or filter by specialty; each name links to that clinician's NPI profile.

64Clinicians
7Medicare specialties
50PECOS enrolled
36Accept Medicare
64 clinicians in 7 specialties

Nurse Practitioner (32)

Nurse Practitioner
NPI 1194495424
5100 LAKE TER NE STE WC
Mount Vernon, IL 62864
(618) 899-5001
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033580873
5100 LAKE TER NE STE WC
Mount Vernon, IL 62864
(618) 899-5001
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1881648194
1250 W WHITTAKER ST
Salem, IL 62881
(618) 548-3740
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1508134396
1201 RICKER RD
Salem, IL 62881
(618) 548-3194
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1972589919
2553 KEN GRAY BLVD
West Frankfort, IL 62896
(618) 932-3937
✔ PECOS✔ Accepts Medicare29 mi
Nurse Practitioner
NPI 1982070942
101 CHITTYVILLE RD
Herrin, IL 62948
(618) 713-5669
✔ PECOS34 mi
Nurse Practitioner
NPI 1053531541
2808 EAST OUTER DRIVE
Marion, IL 62959
(618) 993-3817
✔ PECOS✔ Accepts Medicare40 mi
Nurse Practitioner
NPI 1578940524
740 E US HIGHWAY 6 STE B
Utica, IL 61373
(815) 310-5750
✔ PECOS✔ Accepts Medicare213 mi
Nurse Practitioner
NPI 1740788009
2025 S CHICAGO ST STE B
Joliet, IL 60436
(815) 957-4174
✔ PECOS✔ Accepts Medicare223 mi
Nurse Practitioner
NPI 1417556812
1403 ESSINGTON RD STE 200
Joliet, IL 60435
(815) 265-6062
✔ PECOS226 mi
Nurse Practitioner
NPI 1750476248
11200 W LINCOLN HWY
Mokena, IL 60448
(815) 464-2171
✔ PECOS✔ Accepts Medicare226 mi
Nurse Practitioner
NPI 1326412941
4001 VOLLMER RD
Olympia Fields, IL 60461
(708) 481-8883
✔ PECOS230 mi
Nurse Practitioner
NPI 1538442918
17495 LA GRANGE RD
Tinley Park, IL 60487
(708) 226-7000
✔ PECOS231 mi
Nurse Practitioner
NPI 1669916623
6360 159TH ST STE A-B
Oak Forest, IL 60452
(708) 687-4620
✔ PECOS✔ Accepts Medicare234 mi
Nurse Practitioner
NPI 1255639563
14290 S LA GRANGE RD
Orland Park, IL 60462
(844) 755-8267
✔ PECOS✔ Accepts Medicare235 mi
Nurse Practitioner
NPI 1275954117
6195 W. 115TH ST SUITE A
Alsip, IL 60803
(312) 262-7002
✔ PECOS✔ Accepts Medicare240 mi
Nurse Practitioner
NPI 1528480381
6195 W 115TH ST STE A
Alsip, IL 60803
(312) 262-7002
✔ PECOS✔ Accepts Medicare240 mi
Nurse Practitioner
NPI 1952808081
10 MARTIN AVE STE 200
Naperville, IL 60540
(630) 600-0700
✔ PECOS✔ Accepts Medicare241 mi
Nurse Practitioner
NPI 1881114767
4321 FIR ST
East Chicago, IN 46312
(219) 765-0597
✔ PECOS241 mi
Nurse Practitioner
NPI 1285724344
3700 W 103RD ST
Chicago, IL 60655
(773) 298-3712
✔ PECOS✔ Accepts Medicare242 mi
Nurse Practitioner
NPI 1013348325
4979 INDIANA AVE STE 312
Lisle, IL 60532
(312) 337-4150
✔ PECOS244 mi
Nurse Practitioner
NPI 1740736719
4979 INDIANA AVE
Lisle, IL 60532
(312) 337-4150
✔ PECOS✔ Accepts Medicare244 mi
Nurse Practitioner
NPI 1316672470
7786 S CICERO AVE
Burbank, IL 60459
(708) 425-3085
✔ PECOS✔ Accepts Medicare245 mi
Nurse Practitioner
NPI 1285818070
6150 JOLIET RD SUITE OHC
Countryside, IL 60525
(708) 485-2273
✔ PECOS245 mi
Nurse Practitioner
NPI 1164544813
1747 W ROOSEVELT RD FL 5
Chicago, IL 60608
(312) 226-3288
✔ PECOS253 mi
Nurse Practitioner
NPI 1043679525
1710 N RANDALL RD STE 380
Elgin, IL 60123
(847) 450-6057
✔ PECOS✔ Accepts Medicare261 mi
Nurse Practitioner
NPI 1891222097
4179 DUNDEE RD STE A106
Northbrook, IL 60062
(847) 402-2300
✔ PECOS✔ Accepts Medicare269 mi
Nurse Practitioner
NPI 1053800516
431 W LIBERTY ST
Wauconda, IL 60084
(847) 526-2151
✔ PECOS✔ Accepts Medicare275 mi
Nurse Practitioner
NPI 1174793012
920 2ND AVE S SUITE 400
Minneapolis, MN 55402
(612) 659-7111
✔ PECOS✔ Accepts Medicare511 mi
Nurse Practitioner
NPI 1053652545
5400 WARD RD BLDG III
Arvada, CO 80002
(217) 259-2987
✔ PECOS877 mi
Nurse Practitioner
NPI 1447879564
112 W LEWIS ST
Livingston, MT 59047
(406) 222-1111
✔ PECOS✔ Accepts Medicare1,219 mi
Nurse Practitioner
NPI 1992845747
200 JEFFERSON AVE SE ST. MARY'S PREADMISSION TESTING
Grand Rapids, MI 49503
(616) 752-6706
✔ PECOS✔ Accepts Medicare

Family Practice (13)

Family Practice
NPI 1679548713
5100 LAKE TER NE SUITE WC
Mount Vernon, IL 62864
(618) 899-5001
✔ PECOS2.2 mi
Family Practice
NPI 1770635062
300 W OAK ST
Carbondale, IL 62901
(618) 536-6621
✔ PECOS✔ Accepts Medicare44 mi
Family Practice
NPI 1861415747
6703 159TH ST SUITE 110
Tinley Park, IL 60477
(708) 444-8282
✔ PECOS234 mi
Family Practice
NPI 1760453187
6195 W 115TH ST STE A
Alsip, IL 60803
(312) 262-7002
✔ PECOS✔ Accepts Medicare240 mi
Family Practice
NPI 1770819708
6150 JOLIET RD
Countryside, IL 60525
(708) 485-2273
✔ PECOS✔ Accepts Medicare245 mi
Family Practice
NPI 1447309208
800 E 55TH ST
Chicago, IL 60615
(773) 702-0660
✔ PECOS✔ Accepts Medicare250 mi
Family Practice
NPI 1215183140
200 S WACKER DR FL 31
Chicago, IL 60606
(866) 849-0692
✔ PECOS✔ Accepts Medicare255 mi
Family Practice
NPI 1487987814
2720 DIVISON ST
Chicago, IL 60622
(773) 523-8600
✔ PECOS✔ Accepts Medicare256 mi
Family Practice
NPI 1093740490
2400 N SHEFFIELD AVE
Chicago, IL 60614
(773) 880-0320
✔ PECOS✔ Accepts Medicare257 mi
Family Practice
NPI 1336588342
1925 HUNTLEY RD
West Dundee, IL 60118
(815) 338-6600
✔ PECOS✔ Accepts Medicare263 mi
Family Practice
NPI 1376583658
10350 HALIGUS RD
Huntley, IL 60142
(815) 338-6600
✔ PECOS✔ Accepts Medicare267 mi
Family Practice
NPI 1225180102
1600 NORTH MAIN
Lovington, NM 88260
(575) 396-6611
✔ PECOS✔ Accepts Medicare891 mi
Family Practice
NPI 1770549958
1 CALIFORNIA ST STE 2300
San Francisco, CA 94111
(800) 997-6196
✔ PECOS1,818 mi

Physical Therapist in Private Practice (9)

Physical Therapist in Private Practice
NPI 1073147161
4121 VETERANS MEMORIAL DR
Mount Vernon, IL 62864
(618) 242-3778
✔ Accepts Medicare1.9 mi
Physical Therapist in Private Practice
NPI 1316507841
505 COLLEGE AVE
Ottawa, IL 61350
(815) 434-1130
208 mi
Physical Therapist in Private Practice
NPI 1790152783
1256 W BOUGHTON RD
Bolingbrook, IL 60440
(630) 378-9420
237 mi
Physical Therapist in Private Practice
NPI 1326772609
10201 S CICERO AVE STE A
Oak Lawn, IL 60453
(708) 658-2770
242 mi
Physical Therapist in Private Practice
NPI 1578073425
1 N LA GRANGE RD UNIT 2C
La Grange, IL 60525
(708) 698-5680
247 mi
Physical Therapist in Private Practice
NPI 1235672288
1801 W TAYLOR ST
Chicago, IL 60612
(312) 355-4394
253 mi
Physical Therapist in Private Practice
NPI 1205572526
1077 E GOLF RD
Arlington Heights, IL 60005
(847) 305-1400
262 mi
Physical Therapist in Private Practice
NPI 1053752733
2401 RAVINE WAY STE 100
Glenview, IL 60025
(847) 724-4791
267 mi
Physical Therapist in Private Practice
NPI 1588705842
601 DEERFIELD PKWY
Buffalo Grove, IL 60089
(847) 215-0022
270 mi

Chiropractic (5)

Chiropractic
NPI 1154893717
1928 45TH ST
Munster, IN 46321
(219) 476-7246
234 mi
Chiropractic
NPI 1205137627
1150 N 5TH AVE STE B2
St Charles, IL 60174
(331) 248-0695
251 mi
Chiropractic
NPI 1427433374
2043 TOWER DR
Glenview, IL 60026
(847) 730-3276
266 mi
Chiropractic
NPI 1073556486
300 SKOKIE BLVD STEL
Northbrook, IL 60062
(773) 218-0097
270 mi
Chiropractic
NPI 1609071281
111 W VIRGINIA BEACH BLVD
Norfolk, VA 23510
(757) 623-7776
700 mi

Clinical Social Worker (2)

Clinical Social Worker
NPI 1184771420
227 W MADISON ST
Ottawa, IL 61350
(815) 942-6323
✔ PECOS✔ Accepts Medicare209 mi
Clinical Social Worker
NPI 1750797247
1330 S LORRAINE RD APT A
Wheaton, IL 60189
(630) 474-3505
✔ PECOS248 mi

Internal Medicine (2)

Internal Medicine
NPI 1871696229
920 WEST ST SUITE 111
Peru, IL 61354
(815) 223-4273
✔ PECOS✔ Accepts Medicare208 mi
Internal Medicine
NPI 1891958112
108 WILMOT RD MS 1820
Deerfield, IL 60015
(847) 580-0002
✔ PECOS270 mi

Clinical Psychologist (1)

Clinical Psychologist
NPI 1164913737
1118 JACKSON PL
Dyer, IN 46311
(773) 870-9079
✔ PECOS232 mi
No clinicians match the current filters.

About this data

Medicare reassignment. A clinician who works for a hospital, clinic or medical group usually signs a Medicare reassignment (form CMS-855R). It lets the organization bill Medicare for the clinician's services and receive the payment. This page lists the clinicians whose reassignment to Premise Health Of Illinois Medical PC appears in the CMS Revalidation Reassignment List.

Who is included. Clinicians who bill Medicare under their own NPI through this organization. A clinician can reassign to more than one organization, so the same name may also appear under other groups.

✔ PECOS
Enrolled in Medicare through PECOS, CMS's enrollment system, and eligible to order and refer for Medicare patients.
✔ Accepts Medicare
Accepts Medicare assignment, which means taking the Medicare-approved amount as full payment for covered services.
Same address 4.2 mi
Straight-line distance from this NPI's practice location to the clinician's practice address.

Addresses and phone numbers come from each clinician's own NPPES record, so they may point to another office or to the clinician's own practice.

Source: CMS Revalidation Reassignment List, October 2026 release; addresses, phone numbers and Medicare status from NPPES and PECOS. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.