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MISKELL MEDICAL LLC
NPI 1750756979
Nurse Practitioner - Family in Ottawa, IL

Active since December 14, 2015CLIA 14D2107071 · Waiver
218 W MADISON ST, OTTAWA, IL 61350(815) 431-1122(815) 431-0318 Get Directions Write a Review

NPPES record last updated: January 30, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 30, 2026, Feb 4, 2021, Feb 29, 2016 and 1 more (4 updates tracked since 2015).

About Miskell Medical Llc NPPES

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

MISKELL MEDICAL LLC (NPI 1750756979) is a healthcare organization registered as a family in Ottawa, Illinois and active in the NPI registry since December 2015. The organization holds a CLIA Waiver certificate valid through January 5, 2028 and lists Jessica R Miskell, Ifpapn-bc, as its authorized official.

NPPES Registry Identity

NPI1750756979
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMISKELL MEDICAL LLC
Location Address218 W MADISON STOttawa, IL 61350-2819
Mailing Address218 W Madison StOttawa, IL 61350-2819 · (815) 431-1122 · Fax (877) 503-2851
Phone(815) 431-1122
Fax(815) 431-0318
Organization SubpartNo
Authorized OfficialJessica R MiskellIfpapn-bc · (815) 431-1122
Enumeration DateDecember 14, 2015
Last NPPES UpdateJanuary 30, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2026
✔ NPI 1750756979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 209009286 (IL)
218 W MADISON ST, Ottawa, IL 61350
Open in Google Maps ↗

Other Identifiers 1

Other1710256631IL · Individual Npi

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miskell Medical Llc 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 Miskell Medical LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jessica Miskell, INDEPENDENT APN
Nurse Practitioner
NPI 1710256631
218 W MADISON ST
Ottawa, IL 61350
(815) 431-1122
✔ PECOS✔ Accepts MedicareSame address

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 of Waiver 14D2107071

Miskell Medical LLC · Ottawa, IL
Active · expires Jan 5, 2028
CLIA Number14D2107071
Laboratory TypePractitioner Other
Certificate Effective DateJanuary 6, 2026
Certificate Expiration DateJanuary 5, 2028
Laboratory DirectorJessica R. Miskell
Laboratory Phone(815) 431-1122
Laboratory LocationMiskell Medical LLC218 W Madison St, Ottawa, IL 61350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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 Miskell Medical LLC's NPI number?

The NPI number for Miskell Medical LLC is 1750756979. It was assigned to this organization in the NPPES registry on December 14, 2015.

Where is Miskell Medical LLC located?

Miskell Medical LLC is located at 218 W Madison St, Ottawa, IL 61350. The listed phone number is (815) 431-1122.

What is Miskell Medical LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Miskell Medical LLC enrolled in Medicare?

Yes. Miskell Medical LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Miskell Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Miskell Medical LLC. 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.

Does Miskell Medical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2107071) is associated with this NPI, valid through January 5, 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 Miskell Medical LLC was last updated on January 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.