SUMMER L PARK APN
NPI 1114196904
Nurse Practitioner - Family in Champaign, IL

Q: What is Summer Park's NPI number?

The NPI number for Summer Park is 1114196904. It was assigned to this individual provider in the NPPES registry on February 26, 2008. The provider is also known as Summer L Roeschley Apn.

Q: What is Summer Park's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Summer Park was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since February 26, 2008PECOS EnrolledAccepts Medicare Assignment

1801 WINDSOR RD, CHAMPAIGN, IL 61822(217) 366-6104(217) 366-6106 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Summer L Park Apn NPPES

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

SUMMER L PARK APN (NPI 1114196904) is an individual family provider in Champaign, Illinois, licensed in Illinois (209006933) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1114196904

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUMMER L PARKCredential: APN

Location Address1801 WINDSOR RDChampaign, IL 61822-6217

Mailing Address101 W University AveChampaign, IL 61820-3909 · (217) 366-1326 · Fax (217) 366-6106

Phone(217) 366-6104

Fax(217) 366-6106

Sole ProprietorNo

Medical School CMSOtherGraduated 2007

Enumeration DateFebruary 26, 2008

Last NPPES UpdateFebruary 7, 2025

NPPES CertifiedFebruary 7, 2025

✔ NPI 1114196904 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 · 209006933

1801 WINDSOR RD, Champaign, IL 61822

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Other Names 1

Former Name (1)Summer L Roeschley Apn

Secondary Practice Location 1

Location 1845 S Damen AveChicago, IL 60612-3727 · Phone (312) 996-7416

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

Summer L Park Apn 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 ID7012093974

PECOS Enrollment IDI20080318000787

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

36 services36 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61822 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 20

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

ALLEN THOMAS P.A.-C

Physician Assistant