IndividualActive
Kathryn Gensel, NP
NPI 1699740902 · Pediatric Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1699740902
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- License
- 209004202 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
420 Ne Glen Oak Ave Ste 401
Dept. of Pediatrics
Peoria, IL 61603-3168
Phone: (309) 624-9844
Street-level locationGet directions
Mailing address
1 Illini Dr
Peoria, IL 61605-2576
Registry dates
- Enumerated
- 2006-02-21
- Last updated
- 2013-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.