FAMILY HEALTHCARE OF GIBSON CITY
NPI 1699922138
Family Medicine in Gibson City, IL

Active since August 27, 2008CLIA 14D2265639 · Microscopy
7 DOCTORS PARK, GIBSON CITY, IL 60936(217) 784-5500(217) 784-4106 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2020, Sep 3, 2019 (2 updates tracked since 2019).

About Family Healthcare Of Gibson City NPPES

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

FAMILY HEALTHCARE OF GIBSON CITY (NPI 1699922138) is a healthcare organization registered as a family medicine in Gibson City, Illinois and active in the NPI registry since August 2008. The organization holds a CLIA Microscopy certificate valid through July 28, 2028 and lists Matthew Ertel, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1699922138
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGIBSON COMMUNITY HOSPITAL ASSOCIATION
Location Address7 DOCTORS PARKGibson City, IL 60936-2000
Mailing Address1120 N Melvin StGibson City, IL 60936-1477 · (217) 784-5500 · Fax (217) 784-4106
Fax(217) 784-4106
Organization SubpartYes
Authorized OfficialMatthew ErtelChief Financial Officer · (217) 784-2601
Enumeration DateAugust 27, 2008
Last NPPES UpdateMarch 17, 20202 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
✔ NPI 1699922138 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.
7 DOCTORS PARK, Gibson City, IL 60936

Other Names 1

Doing Business AsFamily Healthcare Of Gibson City

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)

Family Healthcare Of Gibson City is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

200

Medicare enrollment records show 200 clinicians reassign Medicare billing to Family Healthcare Of Gibson City, which bills Medicare for the services they deliver. Of these, 23 practice at this address and 54 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 36

Diagnostic Radiology50
Nurse Practitioner40
Family Practice14
Certified Registered Nurse Anesthetist (CRNA)12
Clinical Social Worker10
Orthopedic Surgery7
Emergency Medicine5
General Surgery5
28 other specialties57

Nearest to this location (20)

See all 200
Nurse Practitioner
NPI 1710538913
3 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4030
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1285213611
3 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1902282650
3 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4030
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1992914972
NO. 1 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4297
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1841640968
4 DOCTORS PARK
Gibson City, IL 60936
(217) 784-2806
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1861568933
8 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4086
✔ PECOS✔ Accepts MedicareSame address
Qualified Audiologist
NPI 1104891043
1 DOCTORS PARK
Gibson City, IL 60936
(217) 784-2808
Same address
Nurse Practitioner
NPI 1255099388
7 DOCTORS PARK
Gibson City, IL 60936
(217) 784-5500
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1215935895
1 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4297
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1336208347
3 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1265298137
7 DOCTORS PARK
Gibson City, IL 60936
(217) 784-5500
✔ PECOS✔ Accepts MedicareSame address
Critical Care (Intensivists)
NPI 1750310553
7 DOCTORS PARK
Gibson City, IL 60936
(217) 784-5515
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1790220309
4 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1962996397
4 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4540
✔ PECOSSame address
Nurse Practitioner
NPI 1245752237
1 DOCTORS PARK
Gibson City, IL 60936
(217) 784-2808
✔ PECOSSame address
Addiction Medicine
NPI 1396739462
10 DOCTORS PARK
Gibson City, IL 60936
(217) 784-5500
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1669403077
10 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4340
✔ PECOS✔ Accepts MedicareSame address
Clinical Social Worker
NPI 1144821729
10 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1134368129
10 DOCTORS PARK
Gibson City, IL 60936
(217) 784-2340
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1922666429
10 DOCTORS PARK
Gibson City, IL 60936
(217) 784-4540
✔ PECOS✔ Accepts MedicareSame address
See all 200 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2265639

Family Health Care Of Gibson City · Gibson City, IL
Active · expires Jul 28, 2028
CLIA Number14D2265639
Laboratory TypePhysician Office
Certificate Effective DateJuly 29, 2026
Certificate Expiration DateJuly 28, 2028
Laboratory DirectorKristina Dakis
Laboratory Phone(217) 784-5500
Laboratory LocationFamily Health Care Of Gibson City7 Doctor's Park, Gibson City, IL 60936
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 1699922138. It was assigned to this organization in the NPPES registry on August 27, 2008. The provider is doing business as Family Healthcare Of Gibson City.

Where is Gibson Community Hospital Association located?

Gibson Community Hospital Association is located at 7 Doctors Park, Gibson City, IL 60936. The listed phone number is (217) 784-5500.

What is Gibson Community Hospital Association's specialty?

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

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), 200 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 (50), Nurse Practitioner (40) and Family Practice (14). Of these, 23 practice at this address and 54 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Gibson Community Hospital Association hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2265639) is associated with this NPI, valid through July 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gibson Community Hospital Association was last updated on March 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.