Individual provider Active NPI

Leah Hulse, APN

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1285117820
Registry record updated Jan 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018049 Issued in IL
Practice address
900 Main St Ste 630
Peoria, IL 61602-5024
Phone
(309) 672-4433
NPI assigned
Sep 10, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2020

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 209018049 IL Primary

Addresses

Primary practice location

900 Main St Ste 630
Peoria, IL 61602-5024

Mailing address

900 Main St Ste 630
Peoria, IL 61602-5024
Phone (309) 672-4433

Other identifiers 1

IdentifierTypeStateIssuer
209018049OtherILLICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL leah.knauss@unitypoint.org

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
I20181015002885 IL Practitioner - Nurse Practitioner 3779835053 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Methodist Medical Center of IllinoisGroup PAC ID 1355259714, shared by 8 NPIs, 387 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

221 NE Glen Oak
Peoria, IL 61636
Phone (309) 672-5522

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

900 Main St
Suite 630
Peoria, IL 61602-5024
Phone (309) 672-4433

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209018049ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Care Incorporated CurrentSince Jan 1, 2026 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Sep 1, 2018 Accepting new patients
Proctor Health Systems CurrentSince Sep 1, 2018 Accepting new patients
Proctor Health Systems CurrentSince Sep 1, 2018 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Pekin Prohealth Inc CurrentSince Sep 1, 2018 Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Sep 1, 2018 Accepting new patients

Locations

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

600 S 13th St
#L
Pekin, IL 61554

5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610

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

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

900 Main St
Ste 630
Peoria, IL 61602
Phone (309) 627-4433

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

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

Organizations & group practices 7

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 4

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": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577923200000",
    "number": "1285117820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 630",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025024",
            "telephone_number": "309-672-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST STE 630",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616025024",
            "telephone_number": "309-672-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "LEAH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2020-01-02",
        "certification_date": "2020-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209018049",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "leah.knauss@unitypoint.org",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "900 Main St Ste 630",
            "city": "Peoria",
            "state": "IL",
            "country_code": "US",
            "postal_code": "616025024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.