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GIBSON COMMUNITY HOSPITAL ASSOCIATION
NPI 1457616229
Anesthesiology - Pain Medicine in Bloomington, IL

Active since July 09, 2012
1015 S MERCER AVE, BLOOMINGTON, IL 61701(217) 784-4251 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gibson Community Hospital Association NPPES

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

GIBSON COMMUNITY HOSPITAL ASSOCIATION (NPI 1457616229), doing business as Gibson Area Hospital Pain Clinic, is a healthcare organization registered as a pain medicine in Bloomington, Illinois and active in the NPI registry since July 2012. The organization lists Matthew Ertel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1457616229
Entity TypeOrganization
Primary Taxonomy207LP2900X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address1015 S MERCER AVEBloomington, IL 61701-7107
Mailing Address1120 N Melvin StGibson City, IL 60936-1477
Phone(217) 784-4251
Organization SubpartNo
Authorized OfficialMatthew ErtelCfo · (217) 784-2601
Enumeration DateJuly 9, 2012
Last NPPES UpdateOctober 27, 2025
NPPES CertifiedOctober 27, 2025
✔ NPI 1457616229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
1015 S MERCER AVE, Bloomington, IL 61701
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Other Names 1

Doing Business AsGibson Area Hospital Pain Clinic

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 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)

Gibson Community Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

200

Medicare enrollment records show 200 clinicians reassign Medicare billing to Gibson Community Hospital Association, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Diagnostic Radiology50
Nurse Practitioner40
Family Practice14
Certified Registered Nurse Anesthetist (CRNA)12
Clinical Social Worker10
Orthopedic Surgery7
Emergency Medicine5
General Surgery5
28 other specialties57

Nearest to this location (20)

See all 200
Ji Lee, MD
Pain Management
NPI 1558347310
1015 S MERCER AVE
Bloomington, IL 61701
(309) 662-0088
✔ PECOS✔ Accepts MedicareSame address
Tyrel Steidinger, APN
Nurse Practitioner
NPI 1336975820
1015 S MERCER AVE
Bloomington, IL 61701
(309) 662-0088
✔ PECOS✔ Accepts MedicareSame address
Shannon Feldman, APRN
Nurse Practitioner
NPI 1033559802
2103 E WASHINGTON ST STE 2C
Bloomington, IL 61701
(309) 808-1450
✔ PECOS✔ Accepts Medicare1.1 mi
Brett Keller, D.O.
Orthopedic Surgery
NPI 1407870876
1505 EASTLAND DR SUITE 220
Bloomington, IL 61701
(309) 662-2278
✔ PECOS✔ Accepts Medicare1.4 mi
Lawrence Gratkins, MD
Obstetrics/Gynecology
NPI 1912003013
1300 FRANKLIN AVE STE 270
Normal, IL 61761
(309) 454-1074
✔ PECOS✔ Accepts Medicare2.7 mi
Kimberly Rhoda, OT
Occupational Therapist in Private Practice
NPI 1609875798
1111 TRINITY LN STE 111
Bloomington, IL 61704
(309) 663-6461
✔ Accepts Medicare3.1 mi
Neil Atkins, MPT
Physical Therapist in Private Practice
NPI 1467451450
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9002
✔ Accepts Medicare3.2 mi
Jeanie Brantley, PT
Physical Therapist in Private Practice
NPI 1013433226
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(217) 784-4251
3.2 mi
Jaime Ellsworth, SLP
Qualified Speech Language Pathologist
NPI 1467570432
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(217) 379-4864
3.2 mi
Julie Hartke, DPT
Physical Therapist in Private Practice
NPI 1578795530
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9068
✔ Accepts Medicare3.2 mi
David Kieser, APN, FNP
Nurse Practitioner
NPI 1841488855
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9002
✔ PECOS✔ Accepts Medicare3.2 mi
Edward Kolb, M.D.
Orthopedic Surgery
NPI 1538168786
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9002
✔ PECOS✔ Accepts Medicare3.2 mi
Jean Kolb, M.D.
Pediatric Medicine
NPI 1396844189
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9002
✔ PECOS✔ Accepts Medicare3.2 mi
Brandy Redman, OT
Occupational Therapist in Private Practice
NPI 1982602140
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9068
✔ Accepts Medicare3.2 mi
Elana Tiberi, DPT
Physical Therapist in Private Practice
NPI 1437884236
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9068
3.2 mi
Veronica Toohill, OCCUP THERPAIST
Occupational Therapist in Private Practice
NPI 1679699250
501A S TOWANDA BARNES RD STE 2
Bloomington, IL 61705
(309) 612-9068
3.2 mi
Coleen Moore
Mental Health Counselor
NPI 1730824616
1606 HUNT DR
Normal, IL 61761
(309) 452-0069
✔ PECOS✔ Accepts Medicare3.4 mi
Kara Moody, APN
Nurse Practitioner
NPI 1316225634
1230 GEORGE ROCK DR
Farmer City, IL 61842
(309) 928-9192
✔ PECOS✔ Accepts Medicare23 mi
Rachel Wenger, M.D.
Family Practice
NPI 1649436098
401 S CLAY ST
Fairbury, IL 61739
(815) 692-1150
✔ PECOS✔ Accepts Medicare30 mi
Amanda Buckner, NP
Nurse Practitioner
NPI 1659041739
201 E 8TH ST
Gibson City, IL 60936
(217) 727-1088
✔ PECOS✔ Accepts Medicare31 mi
See all 200 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 Gibson Community Hospital Association's NPI number?

The NPI number for Gibson Community Hospital Association is 1457616229. It was assigned to this organization in the NPPES registry on July 9, 2012. The provider is doing business as Gibson Area Hospital Pain Clinic.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 1015 S Mercer Ave, Bloomington, IL 61701. The listed phone number is (217) 784-4251.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Gibson Community Hospital Association enrolled in Medicare?

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

How many clinicians bill Medicare through Gibson Community Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 200 clinicians in 36 Medicare specialties reassign their Medicare billing to Gibson Community Hospital Association. 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 Diagnostic Radiology (50), Nurse Practitioner (40) and Family Practice (14). Of these, 2 practice at this address and 17 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 Gibson Community Hospital Association was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.