SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC.
NPI 1689739062
Nurse Practitioner - School in Cahokia, IL
About Southern Illinois Healthcare Foundation, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN ILLINOIS HEALTHCARE FOUNDATION, INC. (NPI 1689739062), doing business as Cahokia School Based Center, is a healthcare organization registered as a school in Cahokia, Illinois and active in the NPI registry since December 2006. The organization lists Larry Mcculley, Chief Operating Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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)
Southern Illinois Healthcare Foundation, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
164Medicare enrollment records show 164 clinicians reassign Medicare billing to Southern Illinois Healthcare Foundation, Inc., which bills Medicare for the services they deliver. Of these, 51 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 164Source: 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 Southern Illinois Healthcare Foundation, Inc.'s NPI number?
The NPI number for Southern Illinois Healthcare Foundation, Inc. is 1689739062. It was assigned to this organization in the NPPES registry on December 26, 2006. The provider is doing business as Cahokia School Based Center.
Where is Southern Illinois Healthcare Foundation, Inc. located?
Southern Illinois Healthcare Foundation, Inc. is located at 800 Range Ln, Cahokia, IL 62206. The listed phone number is (618) 337-3117.
What is Southern Illinois Healthcare Foundation, Inc.'s specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.
Is Southern Illinois Healthcare Foundation, Inc. enrolled in Medicare?
Yes. Southern Illinois Healthcare Foundation, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern Illinois Healthcare Foundation, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 164 clinicians in 15 Medicare specialties reassign their Medicare billing to Southern Illinois Healthcare Foundation, 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 (57), Family Practice (43) and Internal Medicine (16). Of these, 51 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Southern Illinois Healthcare Foundation, Inc. accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Medica list Southern Illinois Healthcare Foundation, Inc. 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 Southern Illinois Healthcare Foundation, Inc. was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# Southern Illinois Healthcare Foundation, Inc. · NPI 1689739062
School organization in Cahokia, Illinois. Organization record, active in the CMS NPPES registry since December 26, 2006.
## Identity
- **NPI:** 1689739062 (Entity type: Organization)
- **Enumerated:** December 26, 2006
- **Primary specialty:** Nurse Practitioner - School · taxonomy 363LS0200X
- **Also known as:** Cahokia School Based Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Larry Mcculley, CHIEF OPERATING OFFICER
## Practice location
- **Address:** 800 RANGE LN, Cahokia, IL 62206-2022
- **Phone:** (618) 337-3117 · **Fax:** (618) 337-3122
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 164 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (57), Family Practice (43), Internal Medicine (16); 51 practice within 10 miles; [full list](https://npiprofile.com/npi/1689739062/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 11, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689739062) · Data from the CMS NPPES public registry.