Individual provider Active NPI

Judith Lynn Williamson, RN, APRN-BC, FNP,

  • Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1922299742
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209006790 Issued in IL
Practice address
8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone
(309) 243-3000
Fax
(309) 243-3044
NPI assigned
Aug 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209006790 IL Primary
Family Nurse Practitioner 363LF0000X 309-001477 IL

Addresses

Primary practice location

8940 N Wood Sage Rd
Peoria, IL 61615-7822

Mailing address

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000

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
I20071129000664 IL Practitioner - Nurse Practitioner 1557450467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oncology-Hematology Associates of Central Illinois P CGroup PAC ID 3870571649, 64 clinicians

Practice addresses (Care Compare)

8940 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-3000

Merit-based Incentive Payment System (MIPS)

Final score
79.09 of 100Reported as group
Quality
72.2
Promoting interoperability
86
Improvement activities
40
Cost
59.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
309-001477ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Oncology-Hematology Associates of Central Illinois P C CurrentSince Nov 16, 2007 Accepting new patients

Locations

336 Home Blvd
Galesburg, IL 61401
Phone (309) 243-3017

8940 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-3610

Interoperability endpoints

  • Direct secure messaging: judy.williamson@ilcc.ikm.direct-ci.com

Organizations & group practices 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1922299742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000",
            "fax_number": "309-243-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N WOOD SAGE RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157822",
            "telephone_number": "309-243-3000",
            "fax_number": "309-243-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JUDITH",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "RN, APRN-BC, FNP,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209006790",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "309-001477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.