OrganizationActive
Methodist Medical Center of Illinois
NPI 1629355060 · School Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1629355060
- Entity type
- Organization
- Primary specialty
- School Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Stephen Cirone, Regional Mgr-Reimb/Rev Recognition(309) 672-4813
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES 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
2702 W Krause Ave
Peoria, IL 61605-2905
Phone: (309) 685-8390
Street-level locationGet directions
Mailing address
5100 Reliable Pkwy
Chicago, IL 60686-0051
Registry dates
- Enumerated
- 2011-11-14
- Last updated
- 2020-02-14
- Certified
- 2020-02-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.