SANDRA L. PEACH APN
NPI 1003268897
Nurse Practitioner in Peoria, IL

Q: What is Sandra Peach's NPI number?

The NPI number for Sandra Peach is 1003268897. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Q: What is Sandra Peach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Sandra Peach was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment

420 NE GLEN OAK AVE, PEORIA, IL 61603(309) 655-2343(309) 655-3948 Get Directions Write a Review

NPPES record last updated: July 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sandra L. Peach Apn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA L. PEACH APN (NPI 1003268897) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209.014408) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1003268897

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSANDRA L. PEACHCredential: APN

Location Address420 NE GLEN OAK AVEPeoria, IL 61603-3105

Mailing Address420 Ne Glen Oak AvePeoria, IL 61603-3105 · (309) 655-2343 · Fax (309) 655-3948

Phone(309) 655-2343

Fax(309) 655-3948

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 6, 2016

Last NPPES UpdateJuly 21, 2025

NPPES CertifiedJuly 21, 2025

✔ NPI 1003268897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209.014408

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209014408 (IL)

420 NE GLEN OAK AVE, Peoria, IL 61603

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sandra L. Peach Apn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466746805

PECOS Enrollment IDI20160809000613

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140064

Location3333 North SeminaryGalesburg, IL 61401 · Knox County

Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140067

Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County

Emergency services Birthing friendly

Hammond Henry Hospital

Critical Access Hospitals · Geneseo, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141319

Location600 N College AvenueGeneseo, IL 61254 · Henry County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA SCHMIDGALL

Nurse Practitioner

420 NE GLEN OAK AVE, SUITE 200
PEORIA, IL 61603

Peoria County (309) 624-5100

SAINT FRANCIS MEDICAL CENTER

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

Peoria County (309) 655-3453

CHARLES APRAHAMIAN MD

Surgery (Pediatric Surgery)

420 NE GLEN OAK AVE, SUITE 201
PEORIA, IL 61603

Peoria County (309) 655-3800

MRS. HEATHER A BOORE APN, CNS-BC

Clinical Nurse Specialist (Pediatrics)

420 NE GLEN OAK AVE, SUITE 401
PEORIA, IL 61603

Peoria County (309) 624-9844

DR. MATTHEW T BRAMLET MD

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 301
PEORIA, IL 61603

Peoria County (309) 655-3453

GREGORY PUSZKIEWICZ R.PH.

Pharmacist

420 NE GLEN OAK AVE
PEORIA, IL 61603

Peoria County (309) 624-8777

PEDIATRIC CARDIOLOGY ASSOCIATES SC

Pediatrics (Pediatric Cardiology)

420 NE GLEN OAK AVE, SUITE 304
PEORIA, IL 61603

Peoria County (309) 655-3453

TRINA CROLAND

Pediatrics

420 NE GLEN OAK AVE
PEORIA, IL 61603

Peoria County (309) 627-5673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Peach's NPI number?

The NPI number for Sandra Peach is 1003268897. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Sandra Peach located?

Sandra Peach practices at 420 NE Glen Oak Ave, Peoria, IL 61603. The listed phone number is (309) 655-2343.

What is Sandra Peach's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Sandra Peach enrolled in Medicare?

Yes. Sandra Peach is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Sandra Peach affiliated with any hospitals?

According to CMS data, Sandra Peach is affiliated with St Mary Medical Center, Saint Francis Medical Center and Hammond Henry Hospital.

When was this NPI record last updated?

The NPPES record for Sandra Peach was last updated on July 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.