Individual provider Active NPI

Tonya Moore, APN

  • Family Nurse Practitioner
  • Galesburg, IL
National Provider Identifier
1225434772
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209012046 Issued in IL
Practice address
834 N Seminary St Ste 501
Galesburg, IL 61401-0501
Phone
(309) 343-4114
Fax
(309) 676-8455
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209012046 IL Primary

Addresses

Primary practice location

834 N Seminary St Ste 501
Galesburg, IL 61401-0501

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

1051 W South St
Kewanee, IL 61443-8354
Phone (309) 676-8123

Other practice location 2

1000 W Harlem Ave
Monmouth, IL 61462-1007
Phone (309) 676-8123

Other practice location 3

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3168
Phone (309) 676-8123

Other identifiers 1

IdentifierTypeStateIssuer
209012046MedicaidIL

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
I20150731014208 IL Practitioner - Nurse Practitioner 1759695091 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

834 N Seminary St
Suite 501
Galesburg, IL 61401-0501
Phone (309) 343-4114

Hospital & facility affiliations

  • St Mary Medical Center Hospital, Galesburg, IL, CCN 140064
  • Osf Holy Family Medical Center Hospital, Monmouth, IL, CCN 141318
  • Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209012046ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. CurrentSince Jul 5, 2016 Accepting new patients

Locations

834 N Seminary St
Ste 501
Galesburg, IL 61401
Phone (309) 343-3303

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

400 John Deere Rd
Bldg 2
Moline, IL 61265
Phone (309) 797-0594

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600

1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461

Interoperability endpoints

  • Direct secure messaging: tmoor113@yourcarecommunity.org
  • Direct secure messaging: tmoore7592@direct.acumenmd.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1225434772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST STE 501",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614010501",
            "telephone_number": "309-343-4114",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1051 W South St",
            "address_purpose": "LOCATION",
            "city": "Kewanee",
            "state": "IL",
            "postal_code": "614438354",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 W Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Monmouth",
            "state": "IL",
            "postal_code": "614621007",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 NE Glen Oak Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033168",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "TONYA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209012046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209012046",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.