Active NPI
Holly Swisher, APN
- Clinical Nurse Specialist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 209-009666
- Practice address
- 530 NE Glen Oak Ave
Peoria, IL 61637-0052 - Phone
- (309) 655-2000
- NPI assigned
- Aug 6, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 041-318883 | IL | |
| Clinical Nurse Specialist | 364S00000X | 209-009666 | IL | Primary |
Addresses
Primary practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0052
Mailing address
111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Clinical Nurse Specialist (CNS)
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 740-4272
530 Neglen Oak Ave
Peoria, IL 61636-0001
Phone (309) 655-2000
5405 N Knoxville Ave
Peoria, IL 61614-5065
Phone (309) 691-4410
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-318883 | IL | MD | General Practice Registered Nurse |
| 209-009666 | IL | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Central Illinois Radiological Associates, LTD. | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Cira Michigan PC | Past | Accepting new patients |
Locations
5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748
812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
5405 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-4410
111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144
515 NE Glen Oak Ave
Ste 103
Peoria, IL 61603
8600 State Route 91
Peoria, IL 61615
Phone (309) 683-5050
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.
-
- Diagnostic Radiology Physician
- Peoria, IL
- NPI 1538192828
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Diagnostic Radiology Physician
- Escanaba, MI
- NPI 1972141513
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
- General Acute Care Hospital
- Peru, IL
- NPI 1588713440
-
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
-
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1316294648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 OAKWOOD RD",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111853",
"telephone_number": "309-740-4272"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 NE GLEN OAK AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616370052",
"telephone_number": "309-655-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWISHER",
"first_name": "HOLLY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-06",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041-318883",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209-009666",
"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 Jun 24, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.