Kerry Detweiler, APN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

277002153 Issued in IL

Practice address

3525 N University St
Peoria, IL 61604-1324

Phone

(309) 886-9172

Fax

(309) 509-4045

NPI assigned

Nov 20, 2017

Last updated

Aug 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kerry Maloney Former name

Medicare fee-for-service enrollment

Enrolled in IL, MI2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solvera Healthcare Center IncGroup PAC ID 4981007226, 8 clinicians

Post Acute Physician Care PCGroup PAC ID 8820442569, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carle Health Methodist Hospital Hospital, Peoria, IL, CCN 140209

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Solvera Healthcare Center Inc

  • Clinic/Center
  • Peoria, IL
  • NPI 1588248249
  Medicare reassignment Care Compare group NPD
• Post Acute Physician Care PC

  • Internal Medicine Physician
  • West Bloomfield, MI
  • NPI 1841076031

  IL

  Medicare reassignment Care Compare group NPD
• Solvera Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Carbondale, IL
  • NPI 1144008939
  NPD
• Solvera Healthcare Center Inc

  dba Solvera Pharmacy

  • Clinic Pharmacy
  • Galesburg, IL
  • NPI 1609615210
  NPD
• Solvera Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Peoria, IL
  • NPI 1881442770
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Methodist Medical Center of Illinois

  • General Acute Care Hospital
  • Peoria, IL
  • NPI 1164474755
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1386158822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9727",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616129727",
            "telephone_number": "309-886-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616041324",
            "telephone_number": "309-886-9172",
            "fax_number": "309-509-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETWEILER",
        "first_name": "KERRY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277002153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERRY",
            "last_name": "MALONEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelly Desmarais, APRN
• Terri M Desmond, SPEECH THERAPIST
• Melissa A Dessert, LCPC/CADC
• Julie A Desutter, PA
• Patricia A Deters, M.D.
• Arvind Reddy Devanabanda
• Joseph Devito, MD
• James Daniel Dewar, D.O.
• Vishakha Dewashrayee
• Rachel Dewey, NP

• Family Nurse Practitioner in Peoria, IL
• Providers in Peoria, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.

Verify at the official NPI Registry.