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

Active since September 08, 2022PECOS Enrolled
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: November 01, 2026.

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

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.

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
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie Wagner 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Julie Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Proctor Health Systems
3.0 mi
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1720223837 (309) 691-1092
Methodist Medical Center Of Illinois
6.6 mi
Psychiatric Unit
221 NE GLEN OAK AVE
Peoria, IL 61636
  • Reassigned Medicare billing, Illinois enrollment
  • Also billed through NPI 1164474755 (Illinois)
  • 693 clinicians in this Medicare group
NPI 1275583155 (309) 672-5522
Carle Health Medical Group
87 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 13

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

ASHLEY R ARREGUIN APN
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
AMANDA GILMOUR NP
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
MARIANNA CUANY MD
Family Medicine
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
MICHAEL JOHNSON MD
Emergency Medicine
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
MS. AYLA ADAMS PA-C
Physician Assistant
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
ANGELA MARIE HILST
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
LISA NANNIE FNP
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110
MARIA MESCHEWSKI NP
Nurse Practitioner (Family)
8914 N KNOXVILLE AVE
PEORIA, IL 61615
Peoria County (309) 691-9110

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 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.

Where is Julie Wagner located?

Julie Wagner practices at 8914 N Knoxville Ave, Peoria, IL 61615. The listed phone number is (309) 691-9110.

What is Julie Wagner's specialty?

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

Is Julie Wagner enrolled in Medicare?

Yes. Julie Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Julie Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Julie Wagner reassigns Medicare benefits to 3 organizations: Proctor Health Systems (Peoria, IL), Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Julie Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 19 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.