MRS. DEIDRA DIANE ANDERSON FNP
NPI 1083336234
Nurse Practitioner - Family in East Peoria, IL

Active since September 14, 2022PECOS EnrolledAccepts Medicare Assignment
133 SPINDER DR, EAST PEORIA, IL 61611(309) 308-5100 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Oct 10, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About Mrs. Deidra Diane Anderson Fnp NPPES

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

MRS. DEIDRA DIANE ANDERSON FNP (NPI 1083336234) is an individual family provider in East Peoria, Illinois, licensed in Illinois (209026249) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1083336234
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEIDRA DIANE ANDERSONCredential: FNP
Location Address133 SPINDER DREast Peoria, IL 61611-0016
Mailing Address896 Banta RdLowpoint, IL 61545-7580 · (309) 208-2935
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 14, 2022
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1083336234 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 · 209026249
133 SPINDER DR, East Peoria, IL 61611

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

Mrs. Deidra Diane Anderson Fnp 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 ID4981071784
PECOS Enrollment IDI20221108002448
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services51 patients

Hospital Affiliations CMS Care Compare

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61611 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 10

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

Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611
Physician Assistant
133 SPINDER DR
EAST PEORIA, IL 61611
Nurse Practitioner (Family)
133 SPINDER DR
EAST PEORIA, IL 61611

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 Deidra Anderson's NPI number?

The NPI number for Deidra Anderson is 1083336234. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Deidra Anderson located?

Deidra Anderson practices at 133 Spinder Dr, East Peoria, IL 61611. The listed phone number is (309) 308-5100.

What is Deidra Anderson's specialty?

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

Is Deidra Anderson enrolled in Medicare?

Yes. Deidra Anderson 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.

Is Deidra Anderson affiliated with any hospitals?

According to CMS data, Deidra Anderson is affiliated with Graham Hospital Association.

When was this NPI record last updated?

The NPPES record for Deidra Anderson was last updated on October 26, 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.