DEACONESS ILLINOIS CROSSROADS FAMILY CLINIC WAYNE CITY
NPI 1528785284
Clinic/Center - Rural Health in Wayne City, IL
About Deaconess Illinois Crossroads Family Clinic Wayne City NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEACONESS ILLINOIS CROSSROADS FAMILY CLINIC WAYNE CITY (NPI 1528785284) is a healthcare organization registered as a rural health in Wayne City, Illinois and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through November 8, 2027 and lists Amber Lipe, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 3
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Deaconess Illinois Crossroads Family Clinic Wayne City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Deaconess Illinois Crossroads Family Clinic Wayne City, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
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 14D1015200
Deaconess Il Crossroads Family Clinic - Wayne City · Wayne City, 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 Deaconess Illinois Crossroads Inc's NPI number?
The NPI number for Deaconess Illinois Crossroads Inc is 1528785284. It was assigned to this organization in the NPPES registry on October 24, 2022. The provider is doing business as Deaconess Illinois Crossroads Family Clinic Wayne City, Crossroads Family Medicine of Wayne City and Deaconess Illinois Rural Health Clinic Wayne City.
Where is Deaconess Illinois Crossroads Inc located?
Deaconess Illinois Crossroads Inc is located at 1209 W Robinson St, Wayne City, IL 62895. The listed phone number is (618) 895-2050.
What is Deaconess Illinois Crossroads Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Deaconess Illinois Crossroads Inc enrolled in Medicare?
Yes. Deaconess Illinois Crossroads Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Deaconess Illinois Crossroads Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Deaconess Illinois Crossroads 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 (11), Family Practice (4) and Internal Medicine (2). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Deaconess Illinois Crossroads Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D1015200) is associated with this NPI, valid through November 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Deaconess Illinois Crossroads Inc was last updated on August 7, 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.
# Deaconess Illinois Crossroads Family Clinic Wayne City · NPI 1528785284
Rural Health organization in Wayne City, Illinois. Organization record, active in the CMS NPPES registry since October 24, 2022.
## Identity
- **NPI:** 1528785284 (Entity type: Organization)
- **Enumerated:** October 24, 2022
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Deaconess Illinois Crossroads Inc
- **Also known as:** Crossroads Family Medicine of Wayne City (Doing Business As); Deaconess Illinois Rural Health Clinic Wayne City (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Amber Lipe, CFO
## Practice location
- **Address:** 1209 W ROBINSON ST, Wayne City, IL 62895-9672
- **Phone:** (618) 895-2050 · **Fax:** (618) 895-2056
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Family Practice (4), Internal Medicine (2) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 7, 2024
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1528785284) · Data from the CMS NPPES public registry.