OrganizationActive
Pana Community Hospital Association
NPI 1114388733 · Family Medicine Physician · Nokomis, IL
Provider details
- NPI number
- 1114388733
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Community Medical Clinic of Nokomis
- Organization subpart
- Yes
- Authorized official
- Lisa Bloemer, Practice Manager(217) 562-6246
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
120 S Cedar St
Nokomis, IL 62075-1647
Phone: (217) 563-8363
Fax: (217) 563-8373
Street-level locationGet directions
Mailing address
120 S Cedar St
Nokomis, IL 62075-1647
Other names (DBA / former)
- Doing business as
- Community Medical Clinic of Nokomis
Registry dates
- Enumerated
- 2016-03-09
- Last updated
- 2016-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.