Individual provider Active NPI

Abigail S Morris, APRN, CNP

  • Pediatric Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1174318232
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
209032264 Issued in IL
Practice address
2806 N Knoxville Ave
Peoria, IL 61604-2870
Phone
(309) 688-3616
Fax
(309) 687-3370
NPI assigned
Apr 10, 2025
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041483773 IL
Pediatric Nurse Practitioner 363LP0200X 209032264 IL Primary

Addresses

Primary practice location

2806 N Knoxville Ave
Peoria, IL 61604-2870

Mailing address

403 W Healey St Apt 2
Champaign, IL 61820-5258
Phone (217) 840-1412

Other practice location 1

6339 N Big Hollow Rd
Peoria, IL 61615-2907
Phone (309) 693-3315

Other names 1

  • Abigail S Aden Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250603003214 IL Practitioner - Nurse Practitioner 6901315738 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041483773ILMDRegistered Nurse
209032264ILMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Mar 9, 2026 Accepting new patients
Ottawa Regional Hospital & Healthcare Center Current Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince Jun 10, 2025 Accepting new patients
St Mary Medical Center CurrentSince Mar 9, 2026 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince May 27, 2025 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients
Ottawa Regional Hospital & Healthcare Center Past Accepting new patients

Locations (25 of 28)

508 Iaa Dr
Bloomington, IL 61701
Phone (309) 451-2080

3653 N Vermilion St
Danville, IL 61832
Phone (217) 554-6827

1 N Logan Ave
Danville, IL 61832
Phone (217) 554-6827

133 Spinder Dr
Ste 4015
East Peoria, IL 61611

2917 W 95th St
Evergreen Park, IL 60805
Phone (708) 907-4355

3315 W 115th St
Unit C
Merrionette Park, IL 60803
Phone (708) 907-4355

1715 N Division St
Ste 4D
Morris, IL 60450

1715 N Division St
Ste 5E
Morris, IL 60450

853 W Jackson St
Morton, IL 61550

1730 Bradford Ln
Normal, IL 61761
Phone (309) 451-2080

6356 W 95th St
Oak Lawn, IL 60453
Phone (708) 907-4355

5660 W 95th St
Ste 1
Oak Lawn, IL 60453
Phone (708) 499-2273

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

2911 Columbus St
Ottawa, IL 61350
Phone (815) 431-3410

1614 E Norris Dr
Ottawa, IL 61350
Phone (815) 433-1010

2301 Court St
Pekin, IL 61554
Phone (303) 308-5100

5905 N Prospect Rd
Peoria, IL 61614

8600 State Route 91
Ste 200
Peoria, IL 61615
Phone (309) 683-5050

2806 N Knoxville Ave
Peoria, IL 61604
Phone (309) 655-6961

10408 N Centerway Dr
Ste C
Peoria, IL 61615

3626 N Sheridan Rd
Peoria, IL 61604

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

5209 W War Memorial Dr
Peoria, IL 61615

124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850

124 SW Adams St
Peoria, IL 61602
Phone (309) 655-2850

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748304000000",
    "number": "1174318232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 W HEALEY ST APT 2",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205258",
            "telephone_number": "217-840-1412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2806 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616042870",
            "telephone_number": "309-688-3616",
            "fax_number": "309-687-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6339 N Big Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616152907",
            "country_code": "US",
            "telephone_number": "309-693-3315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRIS",
        "first_name": "ABIGAIL",
        "middle_name": "S",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041483773",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209032264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABIGAIL",
            "last_name": "ADEN",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.