Active NPI
Kristina Lynn McCue, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277005284
- Practice address
- 2321 N Wisconsin Ave
Peoria, IL 61603-5613 - Phone
- (309) 680-7600
- Fax
- (309) 681-4681
- NPI assigned
- Jan 27, 2023
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277005284 | IL | Primary |
Addresses
Primary practice location
2321 N Wisconsin Ave
Peoria, IL 61603-5613
Mailing address
2321 N Wisconsin Ave
Peoria, IL 61603-5613
Phone (309) 680-7600
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277005284 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heartland Community Health Clinic | Current | Accepting new patients | |
| Heartland Community Health Clinic | Current | Accepting new patients | |
| Heartland Community Health Clinic | Past | Accepting new patients |
Locations
19 Olt Ave
Pekin, IL 61554
Phone (309) 353-6301
3248 Vandever Ave
Ste B
Pekin, IL 61554
711 W John H Gwynn Jr Ave
Peoria, IL 61605
Phone (309) 672-5650
2116 N Sheridan Rd
Ste A
Peoria, IL 61604
Phone (309) 679-6118
2214 N University St
Peoria, IL 61604
1701 W Garden St
Peoria, IL 61605
2321 N Wisconsin Ave
Peoria, IL 61603
Phone (309) 688-9456
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Peoria, IL
- NPI 1336193861
-
- Federally Qualified Health Center (FQHC)
- Peoria, IL
- NPI 1922561000
-
- Federally Qualified Health Center (FQHC)
- Peoria, IL
- NPI 1467658443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1306552872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2321 N WISCONSIN AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616035613",
"telephone_number": "309-680-7600",
"fax_number": "309-681-4681"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 N WISCONSIN AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616035613",
"telephone_number": "309-680-7600",
"fax_number": "309-681-4681"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUE",
"first_name": "KRISTINA",
"middle_name": "LYNN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-27",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277005284",
"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 Jul 29, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.