MADELINE JO GRESHAM WHNP
NPI 1124748009
Nurse Practitioner - Women's Health in Pekin, IL
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 Methodist Medical Center Of Illinois, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Madeline Gresham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61603
- Reassigned Medicare billing, Illinois enrollment
- 693 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Methodist Medical Center Of Illinois
Acute Care Hospitals · Peoria, ILPhysician 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.
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.
PEKIN, IL 61554
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.
Which organizations bill Medicare for Madeline Gresham's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Madeline Gresham reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (Peoria, IL) and Carle Health Medical Group (Urbana, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madeline Gresham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Madeline Gresham affiliated with any hospitals?
According to CMS data, Madeline Gresham is affiliated with 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 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.
# Madeline Jo Gresham, WHNP · NPI 1124748009
Women's Health physician in Pekin, Illinois. Individual provider, active in the CMS NPPES registry since August 31, 2022.
## Identity
- **NPI:** 1124748009 (Entity type: Individual)
- **Enumerated:** August 31, 2022
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** 209026023 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 19 OLT AVE, Pekin, IL 61554-6214
- **Phone:** (309) 680-7600 · **Fax:** (309) 353-3334
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Methodist Medical Center Of Illinois (NPI 1184670663, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** October 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124748009) · Data from the CMS NPPES public registry.