BETHANY WALLS
NPI 1063052231
Nurse Practitioner - Family in Peoria, IL

Active since January 15, 2020PECOS EnrolledAccepts Medicare Assignment
1200 W LOUCKS AVE, PEORIA, IL 61604(309) 306-7421 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Walls NPPES

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

BETHANY WALLS (NPI 1063052231) is an individual family provider in Peoria, Illinois, licensed in Tennessee (APN0000026872) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Ewen, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1063052231
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameBETHANY WALLS
Location Address1200 W LOUCKS AVEPeoria, IL 61604-2604
Mailing Address901 Mcclintock Dr Ste 202Burr Ridge, IL 60527-0872 · (630) 655-6748
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 15, 2020
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
NPI 1063052231 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 TN · APN0000026872
1200 W LOUCKS AVE, Peoria, IL 61604

Secondary Practice Location 1

Location 1789 Old Nashville HwyMc Ewen, TN 37101-4578 · Phone (309) 370-2564

Accepted Insurance

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

Bethany Walls 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 ID9234595604
PECOS Enrollment IDI20230510002102
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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,720 services44 patients
Injection, infliximab, excludes biosimilar, 10 mg J1745
Infliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
2,250 services12 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
149 services35 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
85 services49 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
63 services18 patients
Administration of chemotherapy into vein, each additional hour 96415
Chemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
55 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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 4

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

Chiropractor
1200 W LOUCKS AVE
PEORIA, IL 61604
Chiropractor
1200 W LOUCKS AVE
PEORIA, IL 61604
Nurse Practitioner
1200 W LOUCKS AVE
PEORIA, IL 61604
Chiropractor
1200 W LOUCKS AVE
PEORIA, IL 61604

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 Bethany Walls's NPI number?

The NPI number for Bethany Walls is 1063052231. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Bethany Walls located?

Bethany Walls practices at 1200 W Loucks Ave, Peoria, IL 61604. The listed phone number is (309) 306-7421.

What is Bethany Walls's specialty?

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

Is Bethany Walls enrolled in Medicare?

Yes. Bethany Walls 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.

What insurance does Bethany Walls accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Bethany Walls as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bethany Walls was last updated on July 30, 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.