Ft. Jesse Imaging Center LLC
NPI 1245287143 · Radiology Clinic/Center · Normal, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ft. Jesse Imaging Center LLC is a Radiology Clinic/Center organization in Normal, IL (NPI 1245287143).
Provider details
- NPI number
- 1245287143
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amy Stout, President/Ceo(615) 261-2306
- License
- 9256804 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
- 2006-05-27
- Last updated
- 2025-12-16
- Certified
- 2025-12-16
Frequently asked questions
- What is Ft. Jesse Imaging Center LLC's NPI number?
- Ft. Jesse Imaging Center LLC's National Provider Identifier (NPI) is 1245287143, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ft. Jesse Imaging Center LLC?
- Ft. Jesse Imaging Center LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ft. Jesse Imaging Center LLC located?
- Ft. Jesse Imaging Center LLC's practice location on file with NPPES is 2200 Fort Jesse Rd, Normal, IL 61761-6286.
- What is Ft. Jesse Imaging Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Ft. Jesse Imaging Center LLC is (309) 454-5552.
- Does Ft. Jesse Imaging Center LLC accept Medicare?
- Ft. Jesse Imaging Center 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 Ft. Jesse Imaging Center LLC?
- The authorized official listed on Ft. Jesse Imaging Center LLC's NPPES record is Amy Stout, President/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ft. Jesse Imaging Center LLC's NPI active?
- Yes — Ft. Jesse Imaging Center LLC's NPI (1245287143) is active in the NPPES registry as of the last update on 2025-12-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.