MEMORIAL PHYSICIAN SERVICES
NPI 1477614105
Clinic/Center - Multi-Specialty in Lincoln, IL
About Memorial Physician Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL PHYSICIAN SERVICES (NPI 1477614105) is a healthcare organization registered as a multi-specialty in Lincoln, Illinois and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through April 27, 2028 and lists Edgar J Curtis, President And Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 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)
Memorial Physician Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 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
150Medicare enrollment records show 150 clinicians reassign Medicare billing to Memorial Physician Services, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 150Source: 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 14D0435490
Memorial Physician Services - Lincoln · Lincoln, ILFrequently 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 Memorial Physician Services's NPI number?
The NPI number for Memorial Physician Services is 1477614105. It was assigned to this organization in the NPPES registry on December 13, 2006.
Where is Memorial Physician Services located?
Memorial Physician Services is located at 515 N College St, Lincoln, IL 62656. The listed phone number is (217) 732-9681.
What is Memorial Physician Services's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Memorial Physician Services enrolled in Medicare?
Yes. Memorial Physician Services is registered in the Medicare PECOS enrollment system.
When is Memorial Physician Services'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 December 31, 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 Memorial Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 150 clinicians in 10 Medicare specialties reassign their Medicare billing to Memorial Physician Services. 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 (93), Family Practice (26) and Psychiatry (10). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Physician Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0435490) is associated with this NPI, valid through April 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Memorial Physician Services was last updated on January 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Memorial Physician Services · NPI 1477614105
Multi-Specialty organization in Lincoln, Illinois. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1477614105 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Edgar Curtis, PRESIDENT AND CEO
## Practice location
- **Address:** 515 N COLLEGE ST, Lincoln, IL 62656-1401
- **Phone:** (217) 732-9681 · **Fax:** (217) 735-6527
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 150 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (93), Family Practice (26), Psychiatry (10); 11 practice within 10 miles; [full list](https://npiprofile.com/npi/1477614105/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 16, 2013
- **Other identifiers:** Medicare OSCAR/certification 143895 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1477614105) · Data from the CMS NPPES public registry.