Individual provider Active NPI

Laura Jarvis, NP

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1578081790
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016505 Issued in IL
Practice address
8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone
(309) 691-9110
NPI assigned
Sep 8, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 209016505 IL Primary

Addresses

Primary practice location

8914 N Knoxville Ave
Peoria, IL 61615-1410

Mailing address

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone (309) 691-9110

Other identifiers 1

IdentifierTypeStateIssuer
209016505OtherILLICENSE

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
I20171027000106 IL Practitioner - Nurse Practitioner 8921374455 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

330 SW Adams St
Peoria, IL 61602-1502
Phone (309) 655-2877

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Medical Center of Illinois Current Accepting new patients
Proctor Health Systems CurrentSince Oct 1, 2017 Accepting new patients
Osf Multi-Specialty Group CurrentSince May 15, 2019 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Oct 1, 2017 Accepting new patients
Methodist Medical Center of Illinois Family CurrentSince Oct 1, 2017 Accepting new patients
Proctor Health Systems CurrentSince Oct 1, 2017 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince May 23, 2023 Accepting new patients
Pekin Prohealth Inc CurrentSince Sep 12, 2018 Accepting new patients
Ottawa Regional Hospital & Healthcare Center CurrentSince May 23, 2023 Accepting new patients

Locations

2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

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

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

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

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519

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

3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030

124 SW Adams St
Fl 2
Peoria, IL 61602
Phone (309) 655-2850

8914 N Knoxville Ave
Peoria, IL 61615
Phone (309) 691-9110

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

1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774

Organizations & group practices 10

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578081790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151410",
            "telephone_number": "309-691-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151410",
            "telephone_number": "309-691-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "LAURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "209016505",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.