FREDONIA ENTERPRISES PLLC
NPI 1710730718
Nurse Practitioner - Family in Mount Vernon, IL
About Fredonia Enterprises Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FREDONIA ENTERPRISES PLLC (NPI 1710730718), doing business as Heartland Integrative Medicine, is a healthcare organization registered as a family in Mount Vernon, Illinois and active in the NPI registry since April 2024. The organization lists David A Milano, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fredonia Enterprises Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Fredonia Enterprises PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Fredonia Enterprises PLLC's NPI number?
The NPI number for Fredonia Enterprises PLLC is 1710730718. It was assigned to this organization in the NPPES registry on April 9, 2024. The provider is doing business as Heartland Integrative Medicine.
Where is Fredonia Enterprises PLLC located?
Fredonia Enterprises PLLC is located at 302 Broadway St, Mount Vernon, IL 62864. The listed phone number is (618) 204-2897.
What is Fredonia Enterprises PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Fredonia Enterprises PLLC enrolled in Medicare?
Yes. Fredonia Enterprises PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fredonia Enterprises PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Fredonia Enterprises PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Fredonia Enterprises PLLC was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Fredonia Enterprises Pllc · NPI 1710730718
Family organization in Mount Vernon, Illinois. Organization record, active in the CMS NPPES registry since April 9, 2024.
## Identity
- **NPI:** 1710730718 (Entity type: Organization)
- **Enumerated:** April 9, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Also known as:** Heartland Integrative Medicine (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** David Milano, OWNER
## Practice location
- **Address:** 302 BROADWAY ST, Mount Vernon, IL 62864-5116
- **Phone:** (618) 204-2897 · **Fax:** (618) 242-7674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710730718) · Data from the CMS NPPES public registry.