HEARTLAND COMMUNITY HEALTH CLINIC
NPI 1467658443
Clinic/Center - Federally Qualified Health Center (FQHC) in Peoria, IL
About Heartland Community Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEARTLAND COMMUNITY HEALTH CLINIC (NPI 1467658443), doing business as Heartland Health Services - Wisconsin, is a healthcare organization registered as a federally qualified health center (fqhc) in Peoria, Illinois and active in the NPI registry since June 2007. The organization lists Katie Saucedo, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Heartland Community Health Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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.
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Heartland Community Health Clinic, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (12)
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 Heartland Community Health Clinic's NPI number?
The NPI number for Heartland Community Health Clinic is 1467658443. It was assigned to this organization in the NPPES registry on June 26, 2007. The provider is doing business as Heartland Health Services - Wisconsin.
Where is Heartland Community Health Clinic located?
Heartland Community Health Clinic is located at 2321 N Wisconsin Ave, Peoria, IL 61603. The listed phone number is (309) 680-7600.
What is Heartland Community Health Clinic's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Heartland Community Health Clinic enrolled in Medicare?
Yes. Heartland Community Health Clinic is registered in the Medicare PECOS enrollment system.
When is Heartland Community Health Clinic's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Illinois, Federally Qualified Health Center (FQHC)) is due for revalidation by November 30, 2026. 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 Heartland Community Health Clinic?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 8 Medicare specialties reassign their Medicare billing to Heartland Community Health Clinic. 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 Family Practice (3), Nurse Practitioner (2) and Obstetrics/Gynecology (2). Of these, 5 practice at this address and 9 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 Heartland Community Health Clinic was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Heartland Community Health Clinic · NPI 1467658443
Federally Qualified Health Center (FQHC) organization in Peoria, Illinois. Organization record, active in the CMS NPPES registry since June 26, 2007.
## Identity
- **NPI:** 1467658443 (Entity type: Organization)
- **Enumerated:** June 26, 2007
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Also known as:** Heartland Health Services - Wisconsin (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Katie Saucedo, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 2321 N WISCONSIN AVE, Peoria, IL 61603-5613
- **Phone:** (309) 680-7600 · **Fax:** (309) 681-4681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Part A, Illinois, Federally Qualified Health Center (FQHC)) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 12 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (2), Obstetrics/Gynecology (2); 5 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1467658443) · Data from the CMS NPPES public registry.