Individual provider Active NPI

Alyssa Marie Smolen, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1699343400
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.023372 Issued in IL
Practice address
8600 Il-91
Suite 400
Peoria, IL 61615
Phone
(309) 683-4300
NPI assigned
Jun 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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 209.023372 IL Primary

Addresses

Primary practice location

8600 Il-91
Suite 400
Peoria, IL 61615

Mailing address

8600 Il-91
Suite 400
Peoria, IL 61615
Phone (309) 683-4300

Other names 1

  • Alyssa Marie Willenbring Former name

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
I20211020002610 IL Practitioner - Nurse Practitioner 4183012305 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Creighton University School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

327 Edward St
Henry, IL 61537-1539
Phone (309) 364-2002

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

Hospital & facility affiliations

  • St. Francis Medical Center Home health agency, Peoria, IL, CCN 147243
  • Saint Francis Medical Center Hospital, Peoria, IL, CCN 140067

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Dec 1, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Apr 3, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 24, 2022 Accepting new patients
Osf Healthcare System Current Accepting new patients
Saint Francis Medical Center CurrentSince Apr 3, 2024 Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint Francis Medical Center Current Accepting new patients
Osf Healthcare System CurrentSince Dec 1, 2022 Accepting new patients

Locations

834 N Seminary St
Ste 102
Galesburg, IL 61401
Phone (309) 342-0194

327 Edward St
Henry, IL 61537
Phone (309) 364-2002

1000 W Harlem Ave
Monmouth, IL 61462
Phone (309) 734-1414

435 Maxine Dr
Morton, IL 61550
Phone (309) 263-2424

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

5114 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 655-2431

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

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

8600 State Route 91
Ste 400
Peoria, IL 61615
Phone (309) 683-4300

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

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1623801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1699343400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 IL-91",
            "address_2": "SUITE 400",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-683-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 IL-91",
            "address_2": "SUITE 400",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "61615",
            "telephone_number": "309-683-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOLEN",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-16",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.023372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSSA",
            "last_name": "WILLENBRING",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.