CRUSADER CLINIC
NPI 1902972557
Clinic/Center - Federally Qualified Health Center (FQHC) in Rockford, IL
About Crusader Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CRUSADER CLINIC (NPI 1902972557) is a healthcare organization registered as a federally qualified health center (fqhc) in Rockford, Illinois and active in the NPI registry since November 2006. The organization lists Samuel Miller, President & Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Crusader Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
22Medicare enrollment records show 22 clinicians reassign Medicare billing to Crusader Clinic, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 7
Nearest to this location (20)
See all 22Source: 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 Crusaders Central Clinic Association's NPI number?
The NPI number for Crusaders Central Clinic Association is 1902972557. It was assigned to this organization in the NPPES registry on November 27, 2006. The provider is doing business as Crusader Clinic.
Where is Crusaders Central Clinic Association located?
Crusaders Central Clinic Association is located at 1200 W State St, Rockford, IL 61102. The listed phone number is (815) 490-1600.
What is Crusaders Central Clinic Association's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Crusaders Central Clinic Association enrolled in Medicare?
Yes. Crusaders Central Clinic Association is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Crusaders Central Clinic Association?
According to the CMS Revalidation Reassignment List (October 2026 release), 22 clinicians in 7 Medicare specialties reassign their Medicare billing to Crusaders Central Clinic 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 Certified Nurse Midwife (CNM) (10), Nurse Practitioner (4) and Obstetrics/Gynecology (4). Of these, 16 practice at this address and 17 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Crusaders Central Clinic Association accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, MercyCare, MercyCare Health Plans and UnitedHealthcare list Crusaders Central Clinic Association as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Crusaders Central Clinic Association was last updated on August 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Crusader Clinic · NPI 1902972557
Federally Qualified Health Center (FQHC) organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since November 27, 2006.
## Identity
- **NPI:** 1902972557 (Entity type: Organization)
- **Enumerated:** November 27, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Crusaders Central Clinic Association
- **Organization subpart:** No
- **Authorized official:** Samuel Miller, PRESIDENT & CEO
## Practice location
- **Address:** 1200 W STATE ST, Rockford, IL 61102-2112
- **Phone:** (815) 490-1600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 22 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Nurse Midwife (CNM) (10), Nurse Practitioner (4), Obstetrics/Gynecology (4); 16 practice at this address and 17 within 10 miles; [full list](https://npiprofile.com/npi/1902972557/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 24, 2022
- **Other identifiers:** Other 027548; Other 101-15147-78; Other 101319 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1902972557) · Data from the CMS NPPES public registry.