Individual provider Active NPI

Kristina Lynn McCue, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1306552872
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277005284 Issued in IL
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

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
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230929000898 IL Practitioner - Psychiatry 3678927399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277005284ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Community Health Clinic Current Accepting new patients
Heartland Community Health Clinic CurrentSince Jul 11, 2023 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.

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

Verify at the official NPI Registry.