Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CARLINVILLE AREA HOSPITAL ASSOCIATION
NPI 1699899070
Family Medicine in Gillespie, IL

Active since March 19, 2007
715 BROADWAY ST, GILLESPIE, IL 62033(217) 839-4491(217) 839-2689 Get Directions Write a Review

NPPES record last updated: October 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 26, 2026, Mar 10, 2026, Dec 11, 2025 (3 updates tracked since 2025).

About Carlinville Area Hospital Association NPPES

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

CARLINVILLE AREA HOSPITAL ASSOCIATION (NPI 1699899070) is a healthcare organization registered as a family medicine in Gillespie, Illinois and active in the NPI registry since March 2007. The organization maintains 2 additional practice locations and lists Kristin Boldt, Assistant Cfo, as its authorized official.

NPPES Registry Identity

NPI1699899070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCARLINVILLE AREA HOSPITAL ASSOCIATION
Location Address715 BROADWAY STGillespie, IL 62033-1166
Mailing Address715 Broadway StGillespie, IL 62033-1166 · (217) 839-4491 · Fax (217) 839-2689
Fax(217) 839-2689
Organization SubpartYes
Authorized OfficialKristin BoldtAssistant Cfo · (217) 854-3141
Enumeration DateMarch 19, 2007
Last NPPES UpdateOctober 26, 20263 updates tracked since enumeration
NPPES CertifiedOctober 26, 2026
✔ NPI 1699899070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
715 BROADWAY ST, Gillespie, IL 62033

Secondary Practice Locations 2

Location 1115 N Poplar StMount Olive, IL 62069-1613 · Phone (217) 999-4751 ext. 94491
Location 215574 Route 108Carlinville, IL 62626-4091 · Phone (217) 854-4319 ext. 95030

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

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)

Carlinville Area Hospital Association is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Carlinville Area Hospital Association, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Family Practice
NPI 1417951401
715 BROADWAY ST
Gillespie, IL 62033
(217) 839-4491
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1811389935
715 BROADWAY ST
Gillespie, IL 62033
(217) 839-4491
✔ PECOSSame address
Family Practice
NPI 1609870591
715 BROADWAY ST
Gillespie, IL 62033
(217) 839-4491
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1730748005
12860 TROXLER AVE
Highland, IL 62249
(618) 651-2810
✔ PECOS✔ Accepts Medicare27 mi
Nurse Practitioner
NPI 1245706548
12 N 64TH ST
Belleville, IL 62223
(618) 877-4420
✔ PECOS41 mi

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 Carlinville Area Hospital Association's NPI number?

The NPI number for Carlinville Area Hospital Association is 1699899070. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Carlinville Area Hospital Association located?

Carlinville Area Hospital Association is located at 715 Broadway St, Gillespie, IL 62033. The listed phone number is (217) 839-4491.

What is Carlinville Area Hospital Association's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carlinville Area Hospital Association enrolled in Medicare?

Yes. Carlinville Area Hospital Association is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Carlinville Area Hospital Association?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Carlinville Area 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 Family Practice (3) and Nurse Practitioner (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Carlinville Area Hospital Association accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carlinville Area Hospital Association 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 Carlinville Area Hospital Association was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days 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.