Individual provider Active NPI

Tracy L Schierer, APN

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1275869240
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-007827 Issued in IL
Practice address
7309 N Knoxville Ave
Peoria, IL 61614-2085
Phone
(309) 692-9898
NPI assigned
Oct 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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 209-007827 IL Primary

Addresses

Primary practice location

7309 N Knoxville Ave
Peoria, IL 61614-2085

Mailing address

316 N Niles St
P.O. Box 525
Metamora, IL 61548-7045
Phone (309) 202-4692

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
I20100525000837 IL Practitioner - Nurse Practitioner 7911036223 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-007827ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
Methodist Medical Center of Illinois CurrentSince Mar 7, 2022 Accepting new patients
Pekin Prohealth Inc CurrentSince May 12, 2022 Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Mar 7, 2022 Accepting new patients

Locations

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

600 S 13th St
Ste E
Pekin, IL 61554
Phone (309) 353-0473

7309 N Knoxville Ave
Peoria, IL 61614
Phone (309) 282-0827

7309 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 643-6105

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986

900 Main St
Ste 780
Peoria, IL 61602
Phone (309) 672-4908

112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402

Organizations & group practices 5

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": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1275869240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 N NILES ST",
            "address_2": "P.O. BOX 525",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615487045",
            "telephone_number": "309-202-4692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7309 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142085",
            "telephone_number": "309-692-9898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHIERER",
        "first_name": "TRACY",
        "middle_name": "L",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-007827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.