Gillespie Rural Health Clinic – Rural Health Clinic/Center, NPI 1295518769

Gillespie Rural Health Clinic is a healthcare provider. based in Carlinville, Illinois. specializing in Rural Health Clinic/Center. The NPI Number for Gillespie Rural Health Clinic is 1295518769

Main info

Organization
Name
Gillespie Rural Health Clinic
NPI
1295518769
Phone
(217) 854-3141
Address
20733 N BROAD ST
Authorized Official
BRIAN D. BURNSIDE CEO
Enumeration Date
17 August 2023
Last Update Date
18 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness80
Years active:2State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Gillespie Rural Health Clinic

  • 20733 N BROAD ST

    CARLINVILLE, IL 626263710

    Phone: (217) 854-3141

    Type: Mailing

  • 807 BROADWAY ST

    GILLESPIE, IL 620331100

    Phone: (217) 854-3900

    Fax: (217) 839-1313

    Type: Location

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: 2023-11-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (344 days ago).

Enrollment records

2

Earliest due date

2025-06-30

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20031104000520OClinic/Group PracticeIL2025-06-30
O20231109001742ORural Health ClinicILTBD

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.

Verify on CMS Revalidation Lookup Tool

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 62626)

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Reviews

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Frequently asked questions

How do payers reference Gillespie Rural Health Clinic?
For Gillespie Rural Health Clinic, use NPI 1295518769 as the unique 10-digit identifier.
Would Gillespie Rural Health Clinic appear as active to a payer?
You can treat Gillespie Rural Health Clinic as active for directory purposes; confirm clinical privileges separately.
How would a patient describe Gillespie Rural Health Clinic's focus?
For Gillespie Rural Health Clinic, the primary taxonomy reads as Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Is Gillespie Rural Health Clinic located near Carlinville?
Gillespie Rural Health Clinic currently maps to Carlinville, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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