MRS. HEATHER LARSON AGACNP-BC
NPI 1114724317
Nurse Practitioner - Gerontology in Peoria, IL

Active since February 26, 2025PECOS EnrolledAccepts Medicare Assignment
200 E PENNSYLVANIA AVE, PEORIA, IL 61603(309) 655-2000 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2025, Feb 28, 2025 (2 updates tracked since 2025).

About Mrs. Heather Larson Agacnp-bc NPPES

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

MRS. HEATHER LARSON AGACNP-BC (NPI 1114724317) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (209031767) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114724317
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameMRS. HEATHER LARSONCredential: AGACNP-BC
Location Address200 E PENNSYLVANIA AVEPeoria, IL 61603-3089
Mailing Address200 E Pennsylvania AvePeoria, IL 61603-3089 · (801) 791-4886
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 26, 2025
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2025
NPI 1114724317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in IL · 209031767
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.031767 (IL)
200 E PENNSYLVANIA AVE, Peoria, IL 61603

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. Heather Larson Agacnp-bc 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 ID5698297042
PECOS Enrollment IDI20250314002901
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.

Hospital Affiliations CMS Care Compare 5

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 Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Osf Saint Luke Medical Center

Critical Access Hospitals · Kewanee, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141325
Location1051 West South StreetKewanee, IL 61443 · Henry 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 20

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

Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Audiologist
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Transplant Surgery
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Internal Medicine
200 E PENNSYLVANIA AVE, STE 105
PEORIA, IL 61603
Internal Medicine (Nephrology)
200 E PENNSYLVANIA AVE, SUITE 212
PEORIA, IL 61603
Physician Assistant
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Psychiatry & Neurology (Neurology)
200 E PENNSYLVANIA AVE
PEORIA, IL 61603
Nurse Practitioner
200 E PENNSYLVANIA AVE
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 Heather Larson's NPI number?

The NPI number for Heather Larson is 1114724317. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Where is Heather Larson located?

Heather Larson practices at 200 E Pennsylvania Ave, Peoria, IL 61603. The listed phone number is (309) 655-2000.

What is Heather Larson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Heather Larson enrolled in Medicare?

Yes. Heather Larson 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 Heather Larson affiliated with any hospitals?

According to CMS data, Heather Larson is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, St Joseph Medical Center and Osf Saint Luke Medical Center.

When was this NPI record last updated?

The NPPES record for Heather Larson was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.