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COLLABORATIVE MEDICAL PLLC
NPI 1891494738
Clinic/Center - Medical Specialty in Jacksonville, IL

Active since February 28, 2023
1515 W WALNUT ST STE 6, JACKSONVILLE, IL 62650(217) 243-5313(217) 243-7608 Get Directions Write a Review

NPPES record last updated: August 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 23, 2024, Feb 28, 2023 (2 updates tracked since 2023).

About Collaborative Medical Pllc NPPES

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

COLLABORATIVE MEDICAL PLLC (NPI 1891494738) is a healthcare organization registered as a medical specialty in Jacksonville, Illinois and active in the NPI registry since February 2023. The organization lists James M Casey, Owner, as its authorized official.

NPPES Registry Identity

NPI1891494738
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCOLLABORATIVE MEDICAL PLLC
Location Address1515 W WALNUT ST STE 6Jacksonville, IL 62650-1157
Mailing Address1515 W Walnut St Ste 6Jacksonville, IL 62650-1157 · (217) 243-5313 · Fax (217) 243-7608
Phone(217) 243-5313
Fax(217) 243-7608
Organization SubpartNo
Authorized OfficialJames M CaseyOwner · (217) 473-8265
Enumeration DateFebruary 28, 2023
Last NPPES UpdateAugust 23, 20242 updates tracked since enumeration
NPPES CertifiedAugust 23, 2024
✔ NPI 1891494738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Also ListedClinic/Center · PainTaxonomy 261QP3300X
Also ListedNurse PractitionerTaxonomy 363L00000X
1515 W WALNUT ST STE 6, Jacksonville, IL 62650
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Collaborative Medical Pllc 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 Collaborative Medical PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

James Casey, D.C.
Chiropractic
NPI 1134598386
1515 W WALNUT ST STE 6
Jacksonville, IL 62650
(217) 243-5313
✔ Accepts MedicareSame address
Brandynne Allgaier, FNP-C, APRN
Nurse Practitioner
NPI 1477225993
1515 W WALNUT ST
Jacksonville, IL 62650
(217) 243-5313
✔ PECOS✔ Accepts MedicareSame address
Alexis Brumfield, APN
Nurse Practitioner
NPI 1467963348
1100 SOUTHFIELD DR STE 1140
Plainfield, IN 46168
(317) 839-7200
✔ PECOS✔ Accepts Medicare207 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 Collaborative Medical PLLC's NPI number?

The NPI number for Collaborative Medical PLLC is 1891494738. It was assigned to this organization in the NPPES registry on February 28, 2023.

Where is Collaborative Medical PLLC located?

Collaborative Medical PLLC is located at 1515 W Walnut St Ste 6, Jacksonville, IL 62650. The listed phone number is (217) 243-5313.

What is Collaborative Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Collaborative Medical PLLC enrolled in Medicare?

Yes. Collaborative Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Collaborative Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Collaborative Medical PLLC, in Chiropractic and Nurse Practitioner. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Collaborative Medical PLLC was last updated on August 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.