GIBSON AREA HOSPITAL UROGYNECOLOGY CLINIC
NPI 1659010445
Urology - Urogynecology and Reconstructive Pelvic Surgery in Gibson City, IL

Active since June 01, 2022
1120 N MELVIN ST, GIBSON CITY, IL 60936(217) 784-2212(217) 784-2572 Get Directions Write a Review

NPPES record last updated: July 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Gibson Area Hospital Urogynecology Clinic NPPES

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

GIBSON AREA HOSPITAL UROGYNECOLOGY CLINIC (NPI 1659010445) is a healthcare organization registered as an urogynecology and reconstructive pelvic surgery in Gibson City, Illinois and active in the NPI registry since June 2022. The organization lists Matthew Ertel, Cfo, as its authorized official.

NPPES Registry Identity

NPI1659010445
Entity TypeOrganization
Primary Taxonomy2088F0040X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address1120 N MELVIN STGibson City, IL 60936-1477
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-4251 · Fax (217) 784-2645
Fax(217) 784-2572
Organization SubpartYes
Authorized OfficialMatthew ErtelCfo · (217) 784-2601
Enumeration DateJune 1, 2022
Last NPPES UpdateJuly 7, 2022
NPPES CertifiedJuly 7, 2022
✔ NPI 1659010445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2088F0040X
Definition
A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.
1120 N MELVIN ST, Gibson City, IL 60936

Other Names 1

Doing Business AsGibson Area Hospital Urogynecology Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gibson Area Hospital Urogynecology Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

208

Medicare enrollment records show 208 clinicians reassign Medicare billing to Gibson Area Hospital Urogynecology Clinic, which bills Medicare for the services they deliver. Of these, 26 practice at this address and 55 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Diagnostic Radiology55
Nurse Practitioner40
Family Practice15
Certified Registered Nurse Anesthetist (CRNA)14
Clinical Social Worker10
Orthopedic Surgery7
Emergency Medicine5
General Surgery5
28 other specialties57

Nearest to this location (20)

See all 208
Urology
NPI 1821448408
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Dentist
NPI 1649757386
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Dentist
NPI 1235971599
1120 N MELVIN ST
Gibson City, IL 60936
(708) 420-4072
✔ PECOSSame address
Qualified Speech Language Pathologist
NPI 1295524221
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Hematology/Oncology
NPI 1255656948
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2332
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457217580
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOSSame address
Orthopedic Surgery
NPI 1205888385
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4340
✔ PECOS✔ Accepts MedicareSame address
Certified Clinical Nurse Specialist (CNS)
NPI 1982029856
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-5221
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1801375415
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Registered Dietitian or Nutrition Professional
NPI 1487445730
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Diagnostic Radiology
NPI 1750720843
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Otolaryngology
NPI 1598983371
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1134815780
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4297
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1033120514
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
Qualified Speech Language Pathologist
NPI 1861826448
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1477592137
1120 N MELVIN ST
Gibson, IL 60936
(217) 784-4251
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1073314902
1120 N MELVIN ST
Gibson City, IL 60936
(219) 863-8531
✔ PECOS✔ Accepts MedicareSame address
Urology
NPI 1447875224
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2212
✔ PECOS✔ Accepts MedicareSame address
Cardiac Electrophysiology
NPI 1366450678
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-2273
✔ PECOS✔ Accepts MedicareSame address
Occupational Therapist in Private Practice
NPI 1174059646
1120 N MELVIN ST
Gibson City, IL 60936
(217) 784-4251
Same address
See all 208 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 Gibson Community Hospital Association's NPI number?

The NPI number for Gibson Community Hospital Association is 1659010445. It was assigned to this organization in the NPPES registry on June 1, 2022. The provider is doing business as Gibson Area Hospital Urogynecology Clinic.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 1120 N Melvin St, Gibson City, IL 60936. The listed phone number is (217) 784-2212.

What is Gibson Community Hospital Association's specialty?

The primary specialty registered for this NPI is Urology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 2088F0040X.

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), 208 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 (55), Nurse Practitioner (40) and Family Practice (15). Of these, 26 practice at this address and 55 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 Gibson Community Hospital Association was last updated on July 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.