MIDWEST EMERGENCY GOOD SAMARITAN, INC
NPI 1629367578
Emergency Medicine in Mount Vernon, IL
About Midwest Emergency Good Samaritan, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST EMERGENCY GOOD SAMARITAN, INC (NPI 1629367578) is a healthcare organization registered as an emergency medicine in Mount Vernon, Illinois and active in the NPI registry since March 2011. The organization lists William W Cruzen, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Midwest Emergency Good Samaritan, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
79Medicare enrollment records show 79 clinicians reassign Medicare billing to Midwest Emergency Good Samaritan, Inc, 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 5
Nearest to this location (20)
See all 79Saint Peters, MO 63376
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 Midwest Emergency Good Samaritan, Inc's NPI number?
The NPI number for Midwest Emergency Good Samaritan, Inc is 1629367578. It was assigned to this organization in the NPPES registry on March 31, 2011.
Where is Midwest Emergency Good Samaritan, Inc located?
Midwest Emergency Good Samaritan, Inc is located at 605 N 12th St, Mount Vernon, IL 62864. The listed phone number is (817) 451-4208.
What is Midwest Emergency Good Samaritan, Inc's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Midwest Emergency Good Samaritan, Inc enrolled in Medicare?
Yes. Midwest Emergency Good Samaritan, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Midwest Emergency Good Samaritan, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 79 clinicians in 5 Medicare specialties reassign their Medicare billing to Midwest Emergency Good Samaritan, 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 Emergency Medicine (45), Nurse Practitioner (24) and Family Practice (5). Of these, 3 practice 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 Midwest Emergency Good Samaritan, Inc was last updated on March 31, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Midwest Emergency Good Samaritan, Inc · NPI 1629367578
Emergency Medicine organization in Mount Vernon, Illinois. Organization record, active in the CMS NPPES registry since March 31, 2011.
## Identity
- **NPI:** 1629367578 (Entity type: Organization)
- **Enumerated:** March 31, 2011
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** William Cruzen, PRESIDENT
## Practice location
- **Address:** 605 N 12TH ST, Mount Vernon, IL 62864-2857
- **Phone:** (817) 451-4208 · **Fax:** (817) 563-3699
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 79 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (45), Nurse Practitioner (24), Family Practice (5); 3 practice within 10 miles; [full list](https://npiprofile.com/npi/1629367578/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 31, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1629367578) · Data from the CMS NPPES public registry.