JULIE WAGNER
NPI 1033830823
Nurse Practitioner - Family in Peoria, IL

Q: What is Julie Wagner's NPI number?

The NPI number for Julie Wagner is 1033830823. It was assigned to this individual provider in the NPPES registry on September 8, 2022.

Q: What is Julie Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Julie Wagner was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 September 08, 2022PECOS EnrolledAccepts Medicare Assignment

8914 N KNOXVILLE AVE, PEORIA, IL 61615(309) 691-9110 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 20, 2025, Sep 8, 2022 (2 updates tracked since 2022).

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About Julie Wagner NPPES

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

JULIE WAGNER (NPI 1033830823) is an individual family provider in Peoria, Illinois, licensed in Illinois (209025916) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1033830823

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJULIE WAGNER

Location Address8914 N KNOXVILLE AVEPeoria, IL 61615-1410

Mailing Address1813 Partridge PtNormal, IL 61761-5656

Phone(309) 691-9110

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 8, 2022

Last NPPES UpdateMarch 20, 20252 updates tracked since enumeration

NPPES CertifiedMarch 20, 2025

✔ NPI 1033830823 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 · 209025916

8914 N KNOXVILLE AVE, Peoria, IL 61615

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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

Julie Wagner 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 ID5294257663

PECOS Enrollment IDI20250314003402

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 61615 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 14

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

ASHLEY R ARREGUIN APN

Nurse Practitioner (Family)