PROMISE HEALTHCARE NFP
NPI 1629828439
Clinic/Center - Federally Qualified Health Center (FQHC) in Champaign, IL

Active since March 25, 2024
919 W KIRBY AVE, CHAMPAIGN, IL 61821(217) 356-5477 Get Directions Write a Review

NPPES record last updated: June 3, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Promise Healthcare Nfp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROMISE HEALTHCARE NFP (NPI 1629828439) is a healthcare organization registered as a federally qualified health center (fqhc) in Champaign, Illinois and active in the NPI registry since March 2024. The organization lists Jennifer Henry, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629828439
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NamePROMISE HEALTHCARE NFP
Location Address919 W KIRBY AVEChampaign, IL 61821-5121
Mailing Address919 W Kirby AveChampaign, IL 61821-5121
Organization SubpartNo
Authorized OfficialJennifer HenryCeo · (217) 403-5401
Enumeration DateMarch 25, 2024
Last NPPES UpdateJune 3, 2024
NPPES CertifiedJune 3, 2024
✔ NPI 1629828439 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
919 W KIRBY AVE, Champaign, IL 61821

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Promise Healthcare Nfp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

48

Medicare enrollment records show 48 clinicians reassign Medicare billing to Promise Healthcare Nfp, which bills Medicare for the services they deliver. Of these, 35 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Nurse Practitioner21
Family Practice6
Dentist4
Psychiatry4
Clinical Social Worker3
Mental Health Counselor3
Internal Medicine2
Obstetrics/Gynecology2
2 other specialties3

Nearest to this location (20)

See all 48
Mental Health Counselor
NPI 1922308949
1701 S PROSPECT AVE SUITE 101
Champaign, IL 61820
(217) 607-0916
✔ PECOS0.1 mi
Mental Health Counselor
NPI 1396822276
1813 W KIRBY AVE
Champaign, IL 61821
(217) 383-6039
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1962507954
1813 W KIRBY AVE
Champaign, IL 61821
(217) 383-1850
✔ PECOS0.9 mi
Psychiatry
NPI 1033266044
1210 LANCASTER DR # C
Champaign, IL 61821
(217) 398-4443
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1649483736
611 W. PARK STREET HOSPITALIST SERVICES
Urbana, IL 61801
(217) 383-3129
✔ PECOS✔ Accepts Medicare2.1 mi
Nurse Practitioner
NPI 1700281342
611 W. PARK ST
Urbana, IL 61801
(217) 383-6792
✔ PECOS2.1 mi
Pediatric Medicine
NPI 1306002993
1701 W. CURTIS ROAD
Campaign, IL 61822
(217) 365-6201
✔ PECOS✔ Accepts Medicare2.1 mi
Internal Medicine
NPI 1811929219
1701 W. CURTIS ROAD ADULT MEDICINE
Champaign, IL 61822
(217) 365-6502
✔ PECOS2.1 mi
Family Practice
NPI 1710923560
1109 S LINCOLN AVE
Urbana, IL 61801
(217) 333-2700
✔ PECOS2.1 mi
Family Practice
NPI 1619147592
1109 S. LINCOLN AVE. MCKINLEY HEALTH CENTER
Urbana, IL 61801
(217) 333-2711
✔ PECOS2.1 mi
Psychiatry
NPI 1477572733
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS✔ Accepts Medicare2.2 mi
Psychiatry
NPI 1215952684
1400 W PARK ST 5TH FLOOR
Urbana, IL 61801
(217) 337-2130
✔ PECOS2.2 mi
Nurse Practitioner
NPI 1851051221
1701 CURTIS RD
Champaign, IL 61822
(217) 365-6202
✔ PECOS✔ Accepts Medicare2.2 mi
Clinical Social Worker
NPI 1992290449
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1740038009
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS2.3 mi
Clinical Social Worker
NPI 1962130674
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS✔ Accepts Medicare2.3 mi
Dentist
NPI 1154932218
819 BLOOMINGTON RD
Champaign, IL 61820
(217) 356-1558
✔ PECOS2.3 mi
Obstetrics/Gynecology
NPI 1093802001
602 W. UNIVERSITY AVENUE OB/GYN
Urbana, IL 61801
(217) 383-3140
✔ PECOS2.7 mi
Obstetrics/Gynecology
NPI 1073720157
611 W. PARK ST. SC4
Urbana, IL 61801
(217) 383-3140
✔ PECOS✔ Accepts Medicare2.7 mi
Certified Nurse Midwife (CNM)
NPI 1093351413
2001 PHILO RD
Urbana, IL 61802
(217) 398-9066
✔ PECOS✔ Accepts Medicare3.7 mi
See all 48 clinicians

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 Promise Healthcare Nfp's NPI number?

The NPI number for Promise Healthcare Nfp is 1629828439. It was assigned to this organization in the NPPES registry on March 25, 2024.

Where is Promise Healthcare Nfp located?

Promise Healthcare Nfp is located at 919 W Kirby Ave, Champaign, IL 61821. The listed phone number is (217) 356-5477.

What is Promise Healthcare Nfp's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Promise Healthcare Nfp enrolled in Medicare?

Yes. Promise Healthcare Nfp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promise Healthcare Nfp?

According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 10 Medicare specialties reassign their Medicare billing to Promise Healthcare Nfp. 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 (21), Family Practice (6) and Dentist (4). Of these, 35 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Promise Healthcare Nfp accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and UnitedHealthcare list Promise Healthcare Nfp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Promise Healthcare Nfp was last updated on June 3, 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.