UNIVERSITY CLINIC AT SOUTH BELOIT - JUNIOR HIGH
NPI 1871905190
Clinic/Center - Student Health in South Beloit, IL
About University Clinic At South Beloit - Junior High NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY CLINIC AT SOUTH BELOIT - JUNIOR HIGH (NPI 1871905190) is a healthcare organization registered as a student health in South Beloit, Illinois and active in the NPI registry since May 2014. The organization lists Michael Harner, Director Of Financial Affairs, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 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)
University Clinic At South Beloit - Junior High is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,107Medicare enrollment records show 2,107 clinicians reassign Medicare billing to University Clinic At South Beloit - Junior High, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 71
Nearest to this location (20)
See all 2,107Rockton, IL 61072
Rockton, IL 61072
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 The Board Of Trustees Of The University Of Illinois's NPI number?
The NPI number for The Board Of Trustees Of The University Of Illinois is 1871905190. It was assigned to this organization in the NPPES registry on May 21, 2014. The provider is doing business as University Clinic At South Beloit - Junior High.
Where is The Board Of Trustees Of The University Of Illinois located?
The Board Of Trustees Of The University Of Illinois is located at 840 Blackhawk Blvd, South Beloit, IL 61080. The listed phone number is (815) 395-5861.
What is The Board Of Trustees Of The University Of Illinois's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.
Is The Board Of Trustees Of The University Of Illinois enrolled in Medicare?
Yes. The Board Of Trustees Of The University Of Illinois is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through The Board Of Trustees Of The University Of Illinois?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,107 clinicians in 71 Medicare specialties reassign their Medicare billing to The Board Of Trustees Of The University Of Illinois. 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 Nurse Practitioner (289), Pediatric Medicine (250) and Internal Medicine (153). Of these, 4 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 The Board Of Trustees Of The University Of Illinois was last updated on May 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# University Clinic At South Beloit - Junior High · NPI 1871905190
Student Health organization in South Beloit, Illinois. Organization record, active in the CMS NPPES registry since May 21, 2014.
## Identity
- **NPI:** 1871905190 (Entity type: Organization)
- **Enumerated:** May 21, 2014
- **Primary specialty:** Clinic/Center - Student Health · taxonomy 261QS1000X
- **Legal business name:** The Board Of Trustees Of The University Of Illinois
- **Organization subpart:** No
- **Authorized official:** Michael Harner, DIRECTOR OF FINANCIAL AFFAIRS
## Practice location
- **Address:** 840 BLACKHAWK BLVD, South Beloit, IL 61080-2263
- **Phone:** (815) 395-5861 · **Fax:** (815) 395-5575
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,107 clinicians in 71 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (289), Pediatric Medicine (250), Internal Medicine (153); 4 practice within 10 miles; [full list](https://npiprofile.com/npi/1871905190/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 21, 2014
- **Other identifiers:** Medicaid PENDING (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1871905190) · Data from the CMS NPPES public registry.