MARKET STREET MEDICAL, LLC
NPI 1831596733
Clinic/Center in Olney, IL

Active since November 21, 2014
117 E MARKET ST, OLNEY, IL 62450(618) 392-1301 Get Directions Write a Review

NPPES record last updated: November 21, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Market Street Medical, Llc NPPES

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

MARKET STREET MEDICAL, LLC (NPI 1831596733) is a healthcare organization registered as a clinic/center in Olney, Illinois and active in the NPI registry since November 2014. The organization lists Kelly S. Eyer, Member, as its authorized official.

NPPES Registry Identity

NPI1831596733
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMARKET STREET MEDICAL, LLC
Location Address117 E MARKET STOlney, IL 62450-2241
Mailing Address117 E Market StOlney, IL 62450-2241
Organization SubpartNo
Authorized OfficialKelly S. EyerMember · (618) 392-2395
Enumeration DateNovember 21, 2014
✔ NPI 1831596733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 209012101
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
117 E MARKET ST, Olney, IL 62450

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Market Street Medical, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Market Street Medical, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1033516935
117 E MARKET ST
Olney, IL 62450
(618) 392-1301
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1316314933
405 S WHITTLE AVE
Olney, IL 62450
(618) 364-1009
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1215060298
100 S MAIN ST
West Salem, IL 62476
(618) 456-3727
✔ PECOS15 mi

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 Market Street Medical, LLC's NPI number?

The NPI number for Market Street Medical, LLC is 1831596733. It was assigned to this organization in the NPPES registry on November 21, 2014.

Where is Market Street Medical, LLC located?

Market Street Medical, LLC is located at 117 E Market St, Olney, IL 62450. The listed phone number is (618) 392-1301.

What is Market Street Medical, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Market Street Medical, LLC enrolled in Medicare?

Yes. Market Street Medical, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Market Street Medical, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Market Street 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Market Street Medical, LLC was last updated on November 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.