FT. JESSE IMAGING CENTER LLC – Radiology Clinic/Center, NPI 1245287143
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for FT. JESSE IMAGING CENTER LLC
Fort Jesse Road, Normal, McLean County, Illinois, 61761, United States
SUITE 130
NORMAL, IL 617616286
Phone: (309) 454-5552
Fax: (309) 454-5452
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2025-08-31 (281 days ago).
Enrollment records
10
Earliest due date
2025-08-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20070117000072 | O | Clinic/Group Practice | IL | 2025-08-31 |
| O20230719000409 | O | Clinic/Group Practice | OH | TBD |
| O20230731002871 | O | Clinic/Group Practice | NY | TBD |
| O20230815004131 | O | Clinic/Group Practice | VA | TBD |
| O20230824003635 | O | Clinic/Group Practice | FL | TBD |
| O20240312000624 | O | Clinic/Group Practice | AL | TBD |
| O20241205003157 | O | Clinic/Group Practice | CO | TBD |
| O20250116003654 | O | Clinic/Group Practice | CA | TBD |
| O20250210001070 | O | Clinic/Group Practice | MO | TBD |
| O20250401000866 | O | Clinic/Group Practice | WI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61761)
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