MIDWEST EMERGENCY ANDERSON HEALTH, INC
NPI 1710647615
Emergency Medicine in Staunton, IL
About Midwest Emergency Anderson Health, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDWEST EMERGENCY ANDERSON HEALTH, INC (NPI 1710647615) is a healthcare organization registered as an emergency medicine in Staunton, Illinois and active in the NPI registry since December 2021. The organization lists Carmon L Glover, President/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Midwest Emergency Anderson Health, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
121Medicare enrollment records show 121 clinicians reassign Medicare billing to Midwest Emergency Anderson Health, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 8
Nearest to this location (20)
See all 121Source: 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 Midwest Emergency Anderson Health, Inc's NPI number?
The NPI number for Midwest Emergency Anderson Health, Inc is 1710647615. It was assigned to this organization in the NPPES registry on December 20, 2021.
Where is Midwest Emergency Anderson Health, Inc located?
Midwest Emergency Anderson Health, Inc is located at 400 N Caldwell St, Staunton, IL 62088. The listed phone number is (618) 635-2200.
What is Midwest Emergency Anderson Health, Inc's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Midwest Emergency Anderson Health, Inc enrolled in Medicare?
Yes. Midwest Emergency Anderson Health, Inc is registered in the Medicare PECOS enrollment system.
When is Midwest Emergency Anderson Health, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Midwest Emergency Anderson Health, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 121 clinicians in 8 Medicare specialties reassign their Medicare billing to Midwest Emergency Anderson Health, 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 Emergency Medicine (38), Nurse Practitioner (38) and Internal Medicine (19). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Midwest Emergency Anderson Health, Inc was last updated on December 21, 2021. 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.
# Midwest Emergency Anderson Health, Inc · NPI 1710647615
Emergency Medicine organization in Staunton, Illinois. Organization record, active in the CMS NPPES registry since December 20, 2021.
## Identity
- **NPI:** 1710647615 (Entity type: Organization)
- **Enumerated:** December 20, 2021
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Carmon Glover, PRESIDENT/OWNER
## Practice location
- **Address:** 400 N CALDWELL ST, Staunton, IL 62088-1173
- **Phone:** (618) 635-2200
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Illinois, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 121 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (38), Nurse Practitioner (38), Internal Medicine (19); 1 practice at this address; [full list](https://npiprofile.com/npi/1710647615/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1710647615) · Data from the CMS NPPES public registry.