Active NPI
Rachel Myers, NP
- Acute Care Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 209016208
- Practice address
- 5401 N Knoxville Ave Ste 203
Peoria, IL 61614-5021 - Phone
- (309) 689-6093
- NPI assigned
- Jul 31, 2017
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209016208 | IL | Primary |
Addresses
Primary practice location
5401 N Knoxville Ave Ste 203
Peoria, IL 61614-5021
Mailing address
112 NE Crescent Ave
Peoria, IL 61606-1901
Phone (309) 672-4670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209016208 | Other | IL | LICENSE |
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
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Methodist Medical Center of Illinois
Practice addresses (Care Compare)
112 Necrescent Ave
Peoria, IL 61606-1901
Phone (309) 672-4670
221 NE Glen Oak
Peoria, IL 61636
Phone (309) 672-5522
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-4281
5409 N Knoxville Ave
Peoria, IL 61614-5069
Phone (309) 691-1000
600 S 13TH St
Pekin, IL 61554-4936
611 W Park St
Urbana, IL 61801-2500
611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carle Health Care Incorporated | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Pekin Prohealth Inc | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Graham Hospital Association | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Preferred Emergency Physicians of Illinois, LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Acute Care | Current | Accepting new patients |
| Proctor Health Systems | Current | Accepting new patients | |
| Acute Care Surgery of South Dakota PC | Current | Accepting new patients | |
| Epss LLC - Central Series | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Epss Peoria LLC | Current | Accepting new patients |
Locations
210 W Walnut St
Canton, IL 61520
Phone (309) 647-5240
180 S Main St
Canton, IL 61520
Phone (309) 647-5240
600 S 13th St
#D
Pekin, IL 61554
Phone (309) 353-7500
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
221 NE Glen Oak Ave
Ste W514
Peoria, IL 61636
Phone (309) 671-5929
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
5409 N Knoxville Ave
Peoria, IL 61614
Phone (309) 691-1000
7309 N Knoxville Ave
Ste 1
Peoria, IL 61614
Phone (309) 643-6105
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
5401 N Knoxville Ave
Ste 217
Peoria, IL 61614
Phone (309) 282-1864
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
5401 N Knoxville Ave
Ste 203
Peoria, IL 61614
Phone (309) 589-0600
611 W Park St
Urbana, IL 61801
Phone (217) 383-6941
Interoperability endpoints
- rmyersaprn388394@carlehiedirect.net
Organizations & group practices 15
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.
-
dba Carle Physician Group
- Internal Medicine Physician
- Urbana, IL
- NPI 1154653947
-
- Emergency Medicine Physician
- Pekin, IL
- NPI 1538680467
-
- Emergency Medicine Physician
- Peoria, IL
- NPI 1831421056
-
- Critical Access Hospital
- Canton, IL
- NPI 1780692087
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Emergency Care Clinic/Center
- Peoria, IL
- NPI 1265966048
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Pekin, IL
- NPI 1932150299
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Orthopaedic Surgery Physician
- Rapid City, SD
- NPI 1730797184
IL
-
dba Knox & Fulton County Wound and Hyperbaric Medicine
- Internal Medicine Physician
- Galesburg, IL
- NPI 1710845854
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Proctor Hospital
- General Acute Care Hospital
- Peoria, IL
- NPI 1033116876
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1134826894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1669996781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 NE CRESCENT AVE",
"city": "PEORIA",
"state": "IL",
"postal_code": "616061901",
"telephone_number": "309-672-4670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5401 N KNOXVILLE AVE STE 203",
"city": "PEORIA",
"state": "IL",
"postal_code": "616145021",
"telephone_number": "309-689-6093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "RACHEL",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-31",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "IL",
"license": "209016208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "209016208",
"state": "IL"
}
],
"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 Jan 7, 2020; 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.