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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: August 02, 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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETHANY JACKSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488
KAITLIN ROTHOLTZ
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MORGAN RIEBE
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
MAKAYLEE JOHNSON
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (866) 727-8274
DONNY BOUNDS RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-4321
MS. RACHEL A GAWTHORP RN
Registered Nurse
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 662-0088
HANNAH KEUN
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (844) 263-1613
SENA NTUMY
Behavior Technician
1015 S MERCER AVE
BLOOMINGTON, IL 61701
McLean County (309) 663-0488

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.

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 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.