Central Illinois Friends of Pwa, Inc.
NPI 1376492306 · Community Health Nurse Practitioner · Peoria, IL
Central Illinois Friends of Pwa, Inc. is a Community Health Nurse Practitioner organization in Peoria, IL (NPI 1376492306).
Provider details
- NPI number
- 1376492306
- Entity type
- Organization
- Primary specialty
- Community Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Deric Kimler, Executive Director(309) 431-5880
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-01-23
- Last updated
- 2026-01-23
- Certified
- 2026-01-23
Frequently asked questions
- What is Central Illinois Friends of Pwa, Inc.'s NPI number?
- Central Illinois Friends of Pwa, Inc.'s National Provider Identifier (NPI) is 1376492306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Friends of Pwa, Inc.?
- Central Illinois Friends of Pwa, Inc. is classified in the NPPES registry as Community Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Central Illinois Friends of Pwa, Inc. located?
- Central Illinois Friends of Pwa, Inc.'s practice location on file with NPPES is 120 Ne Glen Oak Ave Ste 201, Peoria, IL 61603-4315.
- What is Central Illinois Friends of Pwa, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Friends of Pwa, Inc. is (309) 431-5880.
- Who is the authorized official for Central Illinois Friends of Pwa, Inc.?
- The authorized official listed on Central Illinois Friends of Pwa, Inc.'s NPPES record is Deric Kimler, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Friends of Pwa, Inc.'s NPI active?
- Yes — Central Illinois Friends of Pwa, Inc.'s NPI (1376492306) is active in the NPPES registry as of the last update on 2026-01-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.