WOOD RIVER URGENT CARE AND WALK IN CLINIC INC
NPI 1427717438
Family Medicine in Wood River, IL

Active since December 17, 2021CLIA 14D2249943 · Waiver
211 MADISON AVE, WOOD RIVER, IL 62095(313) 948-3055 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 6, 2024, Feb 8, 2022, Dec 17, 2021 (3 updates tracked since 2021).

About Wood River Urgent Care And Walk In Clinic Inc NPPES

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

WOOD RIVER URGENT CARE AND WALK IN CLINIC INC (NPI 1427717438) is a healthcare organization registered as a family medicine in Wood River, Illinois and active in the NPI registry since December 2021. The organization holds a CLIA Waiver certificate valid through January 23, 2028 and lists Nancy Molnar, Business Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1427717438
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWOOD RIVER URGENT CARE AND WALK IN CLINIC INC
Location Address211 MADISON AVEWood River, IL 62095-2009
Mailing Address14671 Telegraph RdRedford, MI 48239-3300 · (313) 948-3055 · Fax (313) 948-3041
Organization SubpartNo
Authorized OfficialNancy MolnarBusiness Operations Manager · (313) 948-3055
Enumeration DateDecember 17, 2021
Last NPPES UpdateFebruary 12, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2024
✔ NPI 1427717438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
211 MADISON AVE, Wood River, IL 62095

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wood River Urgent Care And Walk In Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20220224002310Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

40

Medicare enrollment records show 40 clinicians reassign Medicare billing to Wood River Urgent Care And Walk In Clinic Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner39
Internal Medicine1

Nearest to this location (20)

See all 40
Nurse Practitioner
NPI 1457977274
163 E BETHALTO DR STE 300
Bethalto, IL 62010
(618) 433-6490
✔ PECOS✔ Accepts Medicare4.0 mi
Nurse Practitioner
NPI 1902130941
1 MEMORIAL DR
Alton, IL 62002
(618) 463-7240
✔ PECOS✔ Accepts Medicare4.6 mi
Nurse Practitioner
NPI 1881321651
2 MEMORIAL DR STE 220
Alton, IL 62002
(618) 474-1723
✔ PECOS✔ Accepts Medicare5.2 mi
Nurse Practitioner
NPI 1902416134
5213 GODFREY RD STE 110
Godfrey, IL 62035
(618) 619-3330
✔ PECOS✔ Accepts Medicare7.5 mi
Nurse Practitioner
NPI 1619123353
50 NORTHGATE INDUSTRIAL DR
Granite City, IL 62040
(618) 877-4420
✔ PECOS8.2 mi
Nurse Practitioner
NPI 1386892784
2861 MADISON AVE
Granite City, IL 62040
(618) 709-7723
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1669209904
2861 MADISON AVE
Granite City, IL 62040
(313) 948-3055
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1225461668
2861 MADISON AVE
Granite City, IL 62040
(618) 709-7723
✔ PECOS10 mi
Nurse Practitioner
NPI 1588324727
9500 BELLEFONTAINE RD
Saint Louis, MO 63137
(314) 388-0796
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1497424766
2133 VADALABENE DR STE 5B
Maryville, IL 62062
(618) 288-7605
✔ PECOS12 mi
Nurse Practitioner
NPI 1528492907
8033 W FLORISSANT AVE STE A
Saint Louis, MO 63136
(314) 888-0971
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1053844290
1225 GRAHAM RD STE C-1340
Florissant, MO 63031
(314) 953-8271
✔ PECOS14 mi
Nurse Practitioner
NPI 1497201057
4320 FOREST PARK AVE STE 1100
Saint Louis, MO 63108
(314) 333-4100
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1588556500
1935 BELT WAY DR
Saint Louis, MO 63114
(618) 340-5412
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1902566458
4352 MANCHESTER AVE
Saint Louis, MO 63110
(314) 353-5190
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1285917492
7210 W MAIN ST
Belleville, IL 62223
(618) 398-8840
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1649932559
4000 N ILLINOIS LN STE 110
Swansea, IL 62226
(618) 257-6380
✔ PECOS✔ Accepts Medicare21 mi
Nurse Practitioner
NPI 1831757103
4600 MEMORIAL DR STE 360
Belleville, IL 62226
(618) 222-7280
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1740934629
4550 MEMORIAL DR STE 280
Belleville, IL 62226
(618) 767-3235
✔ PECOS✔ Accepts Medicare22 mi
Nurse Practitioner
NPI 1912104043
300 1ST CAPITOL DR
Saint Charles, MO 63301
(636) 947-5000
✔ PECOS✔ Accepts Medicare22 mi
See all 40 clinicians

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 14D2249943

Wood River Urgent Care & Walk In Clinic Inc · Wood River, IL
Active · expires Jan 23, 2028
CLIA Number14D2249943
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJanuary 24, 2026
Certificate Expiration DateJanuary 23, 2028
Laboratory DirectorMian Rizwan
Laboratory Phone(313) 948-3055
Laboratory LocationWood River Urgent Care & Walk In Clinic Inc211 Madison Ave, Wood River, IL 62095
CLIA data matches this NPI record on: Address 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 Wood River Urgent Care And Walk In Clinic Inc's NPI number?

The NPI number for Wood River Urgent Care And Walk In Clinic Inc is 1427717438. It was assigned to this organization in the NPPES registry on December 17, 2021.

Where is Wood River Urgent Care And Walk In Clinic Inc located?

Wood River Urgent Care And Walk In Clinic Inc is located at 211 Madison Ave, Wood River, IL 62095. The listed phone number is (313) 948-3055.

What is Wood River Urgent Care And Walk In Clinic Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wood River Urgent Care And Walk In Clinic Inc enrolled in Medicare?

Yes. Wood River Urgent Care And Walk In Clinic Inc is registered in the Medicare PECOS enrollment system.

When is Wood River Urgent Care And Walk In Clinic Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wood River Urgent Care And Walk In Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 40 clinicians in 2 Medicare specialties reassign their Medicare billing to Wood River Urgent Care And Walk In Clinic 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 (39) and Internal Medicine (1). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Wood River Urgent Care And Walk In Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2249943) is associated with this NPI, valid through January 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Wood River Urgent Care And Walk In Clinic Inc accept?

Health plans from UnitedHealthcare list Wood River Urgent Care And Walk In Clinic Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wood River Urgent Care And Walk In Clinic Inc was last updated on February 12, 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.