Central Illinois Center for Wellness, LLC
NPI 1104391739 · Primary Care Clinic/Center · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Center for Wellness, LLC is a Primary Care Clinic/Center organization in Bloomington, IL (NPI 1104391739).
Provider details
- NPI number
- 1104391739
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- William Ray, Physician/Owner(309) 807-5356
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-10-10
- Last updated
- 2024-08-01
- Certified
- 2024-08-01
Frequently asked questions
- What is Central Illinois Center for Wellness, LLC's NPI number?
- Central Illinois Center for Wellness, LLC's National Provider Identifier (NPI) is 1104391739, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Center for Wellness, LLC?
- Central Illinois Center for Wellness, LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Central Illinois Center for Wellness, LLC located?
- Central Illinois Center for Wellness, LLC's practice location on file with NPPES is 2501 E College Ave Ste C, Bloomington, IL 61704-2484.
- What is Central Illinois Center for Wellness, LLC's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Center for Wellness, LLC is (309) 807-5356.
- Does Central Illinois Center for Wellness, LLC accept Medicare?
- Central Illinois Center for Wellness, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Illinois Center for Wellness, LLC?
- The authorized official listed on Central Illinois Center for Wellness, LLC's NPPES record is William Ray, Physician/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Center for Wellness, LLC's NPI active?
- Yes — Central Illinois Center for Wellness, LLC's NPI (1104391739) is active in the NPPES registry as of the last update on 2024-08-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.