Collaborative Medical PLLC
NPI 1891494738 · Medical Specialty Clinic/Center · Jacksonville, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Collaborative Medical PLLC is a Medical Specialty Clinic/Center organization in Jacksonville, IL (NPI 1891494738).
Provider details
- NPI number
- 1891494738
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- James Casey, Owner(217) 473-8265
Specialties & taxonomies
Ambulatory Health Care Facilities
- Pain Clinic/Center261QP3300X
Ambulatory Health Care Facilities
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
- 2023-02-28
- Last updated
- 2024-08-23
- Certified
- 2024-08-23
Frequently asked questions
- What is Collaborative Medical PLLC's NPI number?
- Collaborative Medical PLLC's National Provider Identifier (NPI) is 1891494738, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Collaborative Medical PLLC?
- Collaborative Medical PLLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Collaborative Medical PLLC located?
- Collaborative Medical PLLC's practice location on file with NPPES is 1515 W Walnut St Ste 6, Jacksonville, IL 62650-1157.
- What is Collaborative Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for Collaborative Medical PLLC is (217) 243-5313.
- Does Collaborative Medical PLLC accept Medicare?
- Collaborative Medical PLLC 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 Collaborative Medical PLLC?
- The authorized official listed on Collaborative Medical PLLC's NPPES record is James Casey, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Collaborative Medical PLLC's NPI active?
- Yes — Collaborative Medical PLLC's NPI (1891494738) is active in the NPPES registry as of the last update on 2024-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.