Rea Clinic – Federally Qualified Health Center (FQHC), NPI 1639159213

Rea Clinic is a healthcare provider. based in Christopher, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Rea Clinic is 1639159213

Main info

Organization
Name
Rea Clinic
NPI
1639159213
Phone
(618) 724-2401
Address
PO BOX 155
Authorized Official
KIM A MITROKA CEO PRESIDENT
Enumeration Date
19 January 2006
Last Update Date
22 January 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness90
Years active:20State licenses:0Digital endpoints

Provider Addresses for Rea Clinic

  • PO BOX 155

    CHRISTOPHER, IL 628220155

    Phone: (618) 724-2401

    Fax: (618) 724-2571

    Type: Mailing

  • 4241 HWY 14 WEST

    REA CLINIC

    CHRISTOPHER, IL 62822

    Phone: (618) 724-2401

    Fax: (618) 724-2571

    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: 2006-10-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

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
O20061018000519OFederally Qualified Health Center (Fqhc)ILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

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 62822)

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Reviews

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Frequently asked questions

Can I cross-check Rea Clinic using NPI 1639159213?
NPI 1639159213 belongs to Rea Clinic; compare other details if you need extra assurance.
Active or inactive — what applies to Rea Clinic?
You should see Rea Clinic as active in CMS-hosted NPPES data.
What kind of doctor is Rea Clinic?
Rea Clinic is associated with Federally Qualified Health Center (FQHC) in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Rea Clinic?
Directory geography for Rea Clinic centers on Christopher, Illinois.
Does Rea Clinic accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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