Individual provider Active NPI

Angela Marie Miller, FNP-C

  • Family Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1740725837
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209014871 Issued in IL
Practice address
2321 N Wisconsin Ave
Peoria, IL 61603-5613
Phone
(309) 680-7600
Fax
(309) 681-4681
NPI assigned
Dec 27, 2016
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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 209014871 IL Primary

Addresses

Primary practice location

2321 N Wisconsin Ave
Peoria, IL 61603-5613

Mailing address

2214 N University St
Peoria, IL 61604-3221
Phone (309) 680-7600

Other practice location 1

1701 W Garden St
Peoria, IL 61605-3531
Phone (309) 680-7600

Other practice location 2

1800 N Knoxville Ave Ste A
Peoria, IL 61603-3005
Phone (309) 680-7600

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
I20170111000712 IL Practitioner - Nurse Practitioner 3870874589 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 N Knoxville Ave
Suite a
Peoria, IL 61603-3005
Phone (309) 680-7600

2321 N Wisconsin Ave
Peoria, IL 61603-5613
Phone (309) 680-7600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Community Health Clinic Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Feb 1, 2019 Accepting new patients
Heartland Community Health Clinic CurrentSince Oct 27, 2017 Accepting new patients
Heartland Community Health Clinic PastSince Mar 11, 2025 Accepting new patients

Locations

1701 W Garden St
Peoria, IL 61605

1800 N Knoxville Ave
Ste A
Peoria, IL 61603

2214 N University St
Peoria, IL 61604

228 NE Jefferson Ave
Peoria, IL 61603
Phone (309) 671-8000

2321 N Wisconsin Ave
Peoria, IL 61603
Phone (309) 688-9456

711 W John H Gwynn Jr Ave
Peoria, IL 61605
Phone (309) 672-5650

8600 State Route 91
Ste 130
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1482796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1740725837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N UNIVERSITY ST",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616043221",
            "telephone_number": "309-680-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 N WISCONSIN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616035613",
            "telephone_number": "309-680-7600",
            "fax_number": "309-681-4681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 W Garden St",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616053531",
            "country_code": "US",
            "telephone_number": "309-680-7600",
            "fax_number": "309-680-7686",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1800 N Knoxville Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033005",
            "country_code": "US",
            "telephone_number": "309-680-7600",
            "fax_number": "309-495-8614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLER",
        "first_name": "ANGELA",
        "middle_name": "MARIE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-27",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209014871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.