MEMORIAL MEDICAL CLINIC NAUVOO
NPI 1891972451
Clinic/Center - Rural Health in Nauvoo, IL
About Memorial Medical Clinic Nauvoo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEMORIAL MEDICAL CLINIC NAUVOO (NPI 1891972451) is a healthcare organization registered as a rural health in Nauvoo, Illinois and active in the NPI registry since January 2008. The organization holds a CLIA Waiver certificate valid through October 1, 2027 and lists Teresa Smith, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
Memorial Medical Clinic Nauvoo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Memorial Medical Clinic Nauvoo, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 28
Nearest to this location (20)
See all 78Source: 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 14D0993475
Memorial Medical Clinic - Navuoo · Nauvoo, ILFrequently 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 Memorial Hospital Association's NPI number?
The NPI number for Memorial Hospital Association is 1891972451. It was assigned to this organization in the NPPES registry on January 25, 2008. The provider is doing business as Memorial Medical Clinic Nauvoo.
Where is Memorial Hospital Association located?
Memorial Hospital Association is located at 1370 Mulholland St, Nauvoo, IL 62354. The listed phone number is (217) 453-6802.
What is Memorial Hospital Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Memorial Hospital Association enrolled in Medicare?
Yes. Memorial Hospital Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Memorial Hospital Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 28 Medicare specialties reassign their Medicare billing to Memorial Hospital Association. 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 (15), Emergency Medicine (14) and Family Practice (12). Of these, 1 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Memorial Hospital Association hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 14D0993475) is associated with this NPI, valid through October 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Memorial Hospital Association was last updated on April 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Memorial Medical Clinic Nauvoo · NPI 1891972451
Rural Health organization in Nauvoo, Illinois. Organization record, active in the CMS NPPES registry since January 25, 2008.
## Identity
- **NPI:** 1891972451 (Entity type: Organization)
- **Enumerated:** January 25, 2008
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Memorial Hospital Association
- **Organization subpart:** Yes (part of Memorial Hospital Association)
- **Authorized official:** Teresa Smith, CFO
## Practice location
- **Address:** 1370 MULHOLLAND ST, Nauvoo, IL 62354-1010
- **Phone:** (217) 453-6802 · **Fax:** (217) 453-2149
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 28 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (15), Emergency Medicine (14), Family Practice (12); 1 practice at this address and 7 within 10 miles; [full list](https://npiprofile.com/npi/1891972451/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 5, 2019
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1891972451) · Data from the CMS NPPES public registry.