MADELINE TAYLOR
NPI 1033079355
Nurse Practitioner - Family in Peoria, IL

Active since November 18, 2025PECOS Enrolled
4909 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 674-7546 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 3, 2026, Nov 18, 2025 (2 updates tracked since 2025).

About Madeline Taylor NPPES

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

MADELINE TAYLOR (NPI 1033079355) is an individual family provider in Peoria, Illinois, licensed in Illinois (UNKNOWN) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Indianapolis, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1033079355
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADELINE TAYLOR
Location Address4909 N GLEN PARK PLACE RDPeoria, IL 61614-4676
Mailing AddressPo Box 12815Belfast, ME 04915-4019
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 18, 2025
Last NPPES UpdateMarch 3, 20262 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
NPI 1033079355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · UNKNOWN
4909 N GLEN PARK PLACE RD, Peoria, IL 61614

Secondary Practice Location 1

Location 12001 W 86Th StIndianapolis, IN 46260-1902 · Phone (317) 415-7921

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Madeline Taylor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557844172
PECOS Enrollment IDI20260312000431
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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 16

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

Dermatology
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Clinic/Center (Ambulatory Surgical)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Dermatology (Dermatopathology)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Surgery (Plastic and Reconstructive Surgery)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Physician Assistant (Medical)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Nurse Practitioner (Family)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Dermatology (Dermatopathology)
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614
Plastic Surgery
4909 N GLEN PARK PLACE RD
PEORIA, IL 61614

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 Madeline Taylor's NPI number?

The NPI number for Madeline Taylor is 1033079355. It was assigned to this individual provider in the NPPES registry on November 18, 2025.

Where is Madeline Taylor located?

Madeline Taylor practices at 4909 N Glen Park Place Rd, Peoria, IL 61614. The listed phone number is (309) 674-7546.

What is Madeline Taylor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madeline Taylor enrolled in Medicare?

Yes. Madeline Taylor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madeline Taylor was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.