NPPES file of Aug 9, 2026

Memorial Physician Services in Jacksonville, IL

This location of Memorial Physician Services bills under NPI 1104179415, an organization record issued on Oct 24, 2012 with the primary taxonomy Rural Health Clinic/Center. It is one of 14 NPIs registered under this name and one of 5 in Jacksonville; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1104179415
Legal name
Memorial Physician Services
Entity
Type 2 · organization
Primary taxonomy
Rural Health Clinic/Center 261QR1300X
Practice location
1602 W LAFAYETTE AVE, Jacksonville, IL 62650
Phone
217-243-7200
Mailing address
Springfield, IL
Enumerated
Oct 24, 2012
Record updated
Oct 26, 2012
Authorized official
Vice President, Mps (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other 4 Jacksonville NPIs

  1. Memorial Physician Services15 FOUNDERS LN SUITE 100 · issued Oct 24, 20121558614867
  2. Memorial Physician Services1606 W LAFAYETTE AVE · issued Oct 24, 20121881947174
  3. Memorial Physician Services1600 W WALNUT ST EAST WING, 3RD FLOOR · issued Nov 1, 20121205180056
  4. Memorial Physician Services901 W MORTON AVE STE 22 · issued Aug 10, 20231528741147

13 clinicians CMS lists with Memorial Physician Services in Jacksonville

  1. David Edwards, MA, PROFESSIONAL COUProfessional Counselor1942396080
  2. Drake Gashkoff, MDFamily Medicine Physician1558716274
  3. Antonia Genisio, LCPCProfessional Counselor1245961606
  4. Anthony Griffin, MDInternal Medicine Physician1770558603
  5. Marlee HagerFamily Nurse Practitioner1629646567
  6. Rosemary Herzberger, FNP-BCFamily Nurse Practitioner1548560089
  7. Sondra Hoover, APNNurse Practitioner1538368568
  8. Lauren Hull, APRNFamily Nurse Practitioner1245094986
  9. Kari Hullinger, BSN, RNFamily Nurse Practitioner1861018301
  10. Denise Skinner, LCPCProfessional Counselor1093203093
  11. Devhan Vanmeter, FNP-CFamily Nurse Practitioner1952135170
  12. Omar Vargas, MDInternal Medicine Physician1639390388
  13. Lara Vollmer, NPFamily Nurse Practitioner1285657684

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 14 Memorial Physician Services NPIs

Every location registered under this name, in 5 cities.

See every location

Checking an organization

  1. Confirm the business with the Illinois secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

Common questions

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Jacksonville NPI should I use?

Ask the office which NPI it bills under; all 5 Jacksonville NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.