SARA KRISTINE SMITH AGACNP
NPI 1073015319
Nurse Practitioner - Acute Care in Peoria, IL

Active since March 02, 2018PECOS EnrolledAccepts Medicare Assignment
515 NE GLEN OAK AVE STE 202, PEORIA, IL 61603(309) 624-4455 Get Directions Write a Review

NPPES record last updated: December 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Jun 12, 2018, Mar 2, 2018 (3 updates tracked since 2018).

About Sara Kristine Smith Agacnp NPPES

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

SARA KRISTINE SMITH AGACNP (NPI 1073015319) is an individual acute care provider in Peoria, Illinois, licensed in Illinois (209017253) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1073015319
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSARA KRISTINE SMITHCredential: AGACNP
Location Address515 NE GLEN OAK AVE STE 202Peoria, IL 61603
Mailing Address120 W Jefferson St Apt 35Morton, IL 61550-1849 · (217) 972-9753
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 2, 2018
Last NPPES UpdateDecember 6, 20223 updates tracked since enumeration
NPPES CertifiedDecember 6, 2022
NPI 1073015319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in IL · 209017253
515 NE GLEN OAK AVE STE 202, Peoria, IL 61603

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

Sara Kristine Smith Agacnp 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 ID2567725716
PECOS Enrollment IDI20180420002164
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 3

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services18 patients
Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
14 services14 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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 3

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

Nurse Practitioner (Acute Care)
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603
Physician Assistant
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603
Physician Assistant
515 NE GLEN OAK AVE STE 202
PEORIA, IL 61603

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 Sara Smith's NPI number?

The NPI number for Sara Smith is 1073015319. It was assigned to this individual provider in the NPPES registry on March 2, 2018.

Where is Sara Smith located?

Sara Smith practices at 515 NE Glen Oak Ave Ste 202, Peoria, IL 61603. The listed phone number is (309) 624-4455.

What is Sara Smith's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Sara Smith enrolled in Medicare?

Yes. Sara Smith 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 Sara Smith accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Sara Smith 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.

Is Sara Smith affiliated with any hospitals?

According to CMS data, Sara Smith is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Sara Smith was last updated on December 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.