Active NPI
Madeline Taylor
- Family Nurse Practitioner
- Peoria, IL
National Provider Identifier
1033079355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- UNKNOWN
- Practice address
- 4909 N Glen Park Place Rd
Peoria, IL 61614-4676 - Phone
- (309) 674-7546
- NPI assigned
- Nov 18, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | UNKNOWN | IL | Primary |
Addresses
Primary practice location
4909 N Glen Park Place Rd
Peoria, IL 61614-4676
Mailing address
PO Box 12815
Belfast, ME 04915-4019
Other practice location 1
2001 W 86Th St
Indianapolis, IN 46260-1902
Phone (317) 415-7921
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
250 W 96TH St
Indianapolis, IN 46260-1316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| UNKNOWN | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients | |
| St Vincent Physician Services Hospital and Health Care Center | Current | Accepting new patients |
Locations
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1669422234
-
- Durable Medical Equipment & Medical Supplies
- Carmel, IN
- NPI 1366689044
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1033079355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 12815",
"city": "BELFAST",
"state": "ME",
"postal_code": "049154019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4909 N GLEN PARK PLACE RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616144676",
"telephone_number": "309-674-7546"
}
],
"practiceLocations": [
{
"address_1": "2001 W 86Th St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462601902",
"country_code": "US",
"telephone_number": "317-415-7921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAYLOR",
"first_name": "MADELINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-11-18",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "UNKNOWN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.