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MADELINE JO GRESHAM WHNP
NPI 1124748009
Nurse Practitioner - Women's Health in Pekin, IL

Active since August 31, 2022PECOS EnrolledAccepts Medicare Assignment
19 OLT AVE, PEKIN, IL 61554(309) 680-7600(309) 353-3334 Get Directions Write a Review

NPPES record last updated: October 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 18, 2023, Aug 31, 2022 (2 updates tracked since 2022).

About Madeline Jo Gresham Whnp NPPES

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

MADELINE JO GRESHAM WHNP (NPI 1124748009) is an individual women's health provider in Pekin, Illinois, licensed in Illinois (209026023) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124748009
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMADELINE JO GRESHAMCredential: WHNP
Location Address19 OLT AVEPekin, IL 61554-6214
Mailing Address2022 W Laura AveWest Peoria, IL 61604-5166 · (309) 863-0773
Phone(309) 680-7600
Fax(309) 353-3334
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 31, 2022
Last NPPES UpdateOctober 18, 20232 updates tracked since enumeration
NPPES CertifiedOctober 18, 2023
✔ NPI 1124748009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in IL · 209026023
Also ListedRegistered NurseTaxonomy 163W00000X · License 041444979 (IL)
19 OLT AVE, Pekin, IL 61554
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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

Madeline Jo Gresham Whnp 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 ID3678949575
PECOS Enrollment IDI20221018001591
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 2

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.
16 services12 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61554 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 11

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

KIDNEY HEALTH CARE PC
Internal Medicine (Nephrology)
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 642-6705
HEARTLAND COMMUNITY HEALTH CLINIC
Clinic/Center (Federally Qualified Health Center (FQHC))
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 680-7600
LINDSAY BRIANN TATE M.D.
Family Medicine
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301
CENTRAL ILLINOIS ARTHRITIS AND REHABILITATION CENTER PC
Specialist
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 353-5921
LARISA SAVAGE APN, CNM
Advanced Practice Midwife
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 680-7600
SUKHWINDER S MULTANI M.D.
Family Medicine
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301
JOHN R LINDELL MD
Internal Medicine
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 353-6301
PEKIN PROHEALTH INC
Clinic/Center (Radiology)
19 OLT AVE
PEKIN, IL 61554
Tazewell County (309) 353-0902

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 Madeline Gresham's NPI number?

The NPI number for Madeline Gresham is 1124748009. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Madeline Gresham located?

Madeline Gresham practices at 19 Olt Ave, Pekin, IL 61554. The listed phone number is (309) 680-7600.

What is Madeline Gresham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Madeline Gresham enrolled in Medicare?

Yes. Madeline Gresham 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 Madeline Gresham affiliated with any hospitals?

According to CMS data, Madeline Gresham is affiliated with Proctor Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Madeline Gresham was last updated on October 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.