FAMILY HEALTHCARE OF FAIRBURY
NPI 1548544679
Family Medicine in Fairbury, IL
About Family Healthcare Of Fairbury NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY HEALTHCARE OF FAIRBURY (NPI 1548544679) is a healthcare organization registered as a family medicine in Fairbury, Illinois and active in the NPI registry since October 2011. The organization holds a CLIA Microscopy certificate valid through October 25, 2027 and lists Matthew Ertel, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Healthcare Of Fairbury is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
200Medicare enrollment records show 200 clinicians reassign Medicare billing to Family Healthcare Of Fairbury, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 36
Nearest to this location (20)
See all 200Source: 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 for Provider-Performed Microscopy Procedures (PPMP) 14D2031759
Family Health Care Of Fairbury · Fairbury, 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 Gibson Community Hospital Association's NPI number?
The NPI number for Gibson Community Hospital Association is 1548544679. It was assigned to this organization in the NPPES registry on October 7, 2011. The provider is doing business as Family Healthcare Of Fairbury.
Where is Gibson Community Hospital Association located?
Gibson Community Hospital Association is located at 221 Wal Crest Dr, Fairbury, IL 61739. The listed phone number is (815) 692-1150.
What is Gibson Community Hospital Association's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
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, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Gibson Community Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2031759) is associated with this NPI, valid through October 25, 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 Gibson Community Hospital Association was last updated on November 8, 2023. 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.
# Family Healthcare Of Fairbury · NPI 1548544679
Family Medicine organization in Fairbury, Illinois. Organization record, active in the CMS NPPES registry since October 7, 2011.
## Identity
- **NPI:** 1548544679 (Entity type: Organization)
- **Enumerated:** October 7, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Gibson Community Hospital Association
- **Organization subpart:** No
- **Authorized official:** Matthew Ertel, CFO
## Practice location
- **Address:** 221 WAL CREST DR, Fairbury, IL 61739-8998
- **Phone:** (815) 692-1150 · **Fax:** (815) 692-1153
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 200 clinicians in 36 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (50), Nurse Practitioner (40), Family Practice (14); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1548544679/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 8, 2023
- **Other identifiers:** Other 825130 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1548544679) · Data from the CMS NPPES public registry.