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JULIE A DESUTTER PA
NPI 1093847600
Physician Assistant - Medical in Peoria, IL

Active since March 09, 2007PECOS Enrolled
200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Julie A Desutter Pa NPPES

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

JULIE A DESUTTER PA (NPI 1093847600) is an individual medical provider in Peoria, Illinois, licensed in Illinois (085001405) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093847600
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameJULIE A DESUTTERCredential: PA
Location Address200 E PENNSYLVANIA AVE, SUITE 212Peoria, IL 61603-3089
Mailing Address200 E Pennsylvania Ave, Suite 212Peoria, IL 61603-3089 · (309) 676-8123 · Fax (309) 676-8455
Phone(309) 676-8123
Fax(309) 676-8455
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateDecember 11, 2008
✔ NPI 1093847600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in IL · 085001405
200 E PENNSYLVANIA AVE, Peoria, IL 61603
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Other Identifiers 3

Medicare PINK20215IL
Medicare UPINP47115IL
OtherP00016083IL · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Julie A Desutter Pa 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.

Other Providers at the Same Location NPPES 20

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

DR. DOUGLAS JUVINALL MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. CAROLINE MARIE RAYBURN AUD
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
DR. JOHN W HSU MD
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
DEAN A GRAVLIN M.D.
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Peoria County (309) 655-7888
FREDERICK HORVATH MD
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Peoria County (309) 676-8123
MRS. EVANNE M IHNKEN PA-C
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
KAVYA MORAVINENI MD
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000
LOAN T NGUYEN APN, CNP
Nurse Practitioner
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Peoria County (309) 624-4000

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 Desutter's NPI number?

The NPI number for Julie Desutter is 1093847600. It was assigned to this individual provider in the NPPES registry on March 9, 2007.

Where is Julie Desutter located?

Julie Desutter practices at 200 E Pennsylvania Ave Suite 212, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Julie Desutter's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Julie Desutter enrolled in Medicare?

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

What insurance does Julie Desutter accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Julie Desutter 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 Julie Desutter was last updated on December 11, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.