ROB WIMMER P.A.
NPI 1013972512
Physician Assistant - Surgical in Peoria, IL

Q: What is Rob Wimmer's NPI number?

The NPI number for Rob Wimmer is 1013972512. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Rob Wimmer's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Rob Wimmer was last updated on January 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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 April 18, 2006PECOS Enrolled

7309 N KNOXVILLE AVE, PEORIA, IL 61614(309) 692-9898 Get Directions Write a Review

NPPES record last updated: January 21, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Rob Wimmer P.a. NPPES

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

ROB WIMMER P.A. (NPI 1013972512) is an individual surgical provider in Peoria, Illinois, licensed in Illinois (085000410) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013972512

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameROB WIMMERCredential: P.A.

Location Address7309 N KNOXVILLE AVEPeoria, IL 61614-2085

Mailing Address7309 N Knoxville AvePeoria, IL 61614-2085 · (309) 692-9898

Phone(309) 692-9898

Sole ProprietorYes

Enumeration DateApril 18, 2006

Last NPPES UpdateJanuary 21, 2015

✔ NPI 1013972512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IL · 085000410

7309 N KNOXVILLE AVE, Peoria, IL 61614

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Other Identifiers 2

Medicare UPINR78361IL

Medicare ID-Type Unspecified201632IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rob Wimmer P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

BRADLEY ALAN KIRKENIR CRNA

Nurse Anesthetist, Certified Registered