SI VITALITY SPECIALTY CLINIC LLC
NPI 1760286413
Nurse Practitioner - Family in Carterville, IL
About Si Vitality Specialty Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SI VITALITY SPECIALTY CLINIC LLC (NPI 1760286413) is a healthcare organization registered as a family in Carterville, Illinois and active in the NPI registry since April 2025. The organization lists Samantha Christopher, Aprn, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Si Vitality Specialty Clinic 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 Si Vitality Specialty Clinic LLC, 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 Si Vitality Specialty Clinic LLC's NPI number?
The NPI number for Si Vitality Specialty Clinic LLC is 1760286413. It was assigned to this organization in the NPPES registry on April 2, 2025.
Where is Si Vitality Specialty Clinic LLC located?
Si Vitality Specialty Clinic LLC is located at 209 W Commercial Dr Ste E, Carterville, IL 62918. The listed phone number is (618) 684-7087.
What is Si Vitality Specialty Clinic LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Si Vitality Specialty Clinic LLC enrolled in Medicare?
Yes. Si Vitality Specialty Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Si Vitality Specialty Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Si Vitality Specialty Clinic 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.
When was this NPI record last updated?
The NPPES record for Si Vitality Specialty Clinic LLC 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 14 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.
# Si Vitality Specialty Clinic Llc · NPI 1760286413
Family organization in Carterville, Illinois. Organization record, active in the CMS NPPES registry since April 2, 2025.
## Identity
- **NPI:** 1760286413 (Entity type: Organization)
- **Enumerated:** April 2, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Samantha Christopher, APRN, FOUNDER
## Practice location
- **Address:** 209 W COMMERCIAL DR STE E, Carterville, IL 62918-2057
- **Phone:** (618) 684-7087 · **Fax:** (618) 822-4045
## 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:** October 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1760286413) · Data from the CMS NPPES public registry.