IndividualActive
Danette Wilkinson, ANP
NPI 1962169938 · Gerontology Nurse Practitioner · Peoria, IL
Provider details
- NPI number
- 1962169938
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- ANP
- Sex
- Female
- Sole proprietor
- No
- License
- 209024409 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Peoria, IL 61603-3112
Phone: (309) 676-8123
Fax: (309) 676-8455
Street-level locationGet directions
Mailing address
420 Ne Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Additional practice locations (1)
- 180 S Main Ste, Ste 2iCanton, IL 61520Phone: (309) 676-8123Fax: (309) 676-8455
Registry dates
- Enumerated
- 2021-11-24
- Last updated
- 2025-01-21
- Certified
- 2025-01-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.