Cissna Park Medical Clinic – Rural Health Clinic/Center, NPI 1356382428

Cissna Park Medical Clinic is a healthcare provider. based in Hoopeston, Illinois. specializing in Rural Health Clinic/Center. The organization holds a License No. 0004200 (IL). The NPI Number for Cissna Park Medical Clinic is 1356382428

Main info

Organization
Name
Cissna Park Medical Clinic
NPI
1356382428
Phone
(217) 383-6792
Address
701 E ORANGE ST
Authorized Official
HARRY BROCKUS CEO
Enumeration Date
9 June 2006
Last Update Date
6 February 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness80
Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Cissna Park Medical Clinic

  • 701, East Orange Street, Hoopeston, Vermilion County, Illinois, 60942, United States

    HOOPESTON, IL 609421801

    Phone: (217) 383-6792

    Fax: (217) 383-4752

    Type: Mailing

  • 141, West Garfield Avenue, Cissna Park, Iroquois County, Illinois, 60924, United States

    CISSNA PARK, IL 609240502

    Phone: (217) 283-5531

    Fax: (217) 283-7981

    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: 2006-07-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Revalidation due soon

Earliest CMS due date is 2026-08-31 (77 days away).

Enrollment records

1

Earliest due date

2026-08-31

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
O20060724000240ORural Health ClinicIL2026-08-31

What to do next

  • Confirm the due date on the CMS Revalidation Lookup Tool.
  • Complete revalidation in PECOS before the published due date.
  • If you have multiple enrollment records, revalidate each one on its own schedule.

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 60942)

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Reviews

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Frequently asked questions

What federal number belongs to Cissna Park Medical Clinic?
The federal identifier for Cissna Park Medical Clinic is NPI 1356382428.
Is Cissna Park Medical Clinic active in the national directory?
Cissna Park Medical Clinic's public NPI profile is in an active state.
What does Cissna Park Medical Clinic treat or focus on?
Patients typically see Cissna Park Medical Clinic under the specialty Rural Health Clinic/Center. Clinical services aligned with this taxonomy classification.
Does Cissna Park Medical Clinic practice in Illinois?
You will see Hoopeston, Illinois on file for Cissna Park Medical Clinic alongside any extra practice locations.
What if Hoopeston, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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