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EPSS, LLC- METRO SERIES
NPI 1124782305
Emergency Medicine in Peoria, IL

Active since October 25, 2021
221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5522 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Epss, Llc- Metro Series NPPES

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

EPSS, LLC- METRO SERIES (NPI 1124782305) is a healthcare organization registered as an emergency medicine in Peoria, Illinois and active in the NPI registry since October 2021. The organization lists James T Brown, President/owner, as its authorized official.

NPPES Registry Identity

NPI1124782305
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEPSS, LLC- METRO SERIES
Location Address221 NE GLEN OAK AVEPeoria, IL 61636-0001
Mailing AddressPo Box 8058Fort Worth, TX 76124-0058 · (817) 451-4208
Phone(309) 672-5522
Organization SubpartNo
Authorized OfficialJames T BrownPresident/owner · (309) 657-5022
Enumeration DateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
✔ NPI 1124782305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
221 NE GLEN OAK AVE, Peoria, IL 61636
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Epss, Llc- Metro Series is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIllinoisEnrollment IDO20211203002440Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

52

Medicare enrollment records show 52 clinicians reassign Medicare billing to Epss, LLC- Metro Series, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine25
Nurse Practitioner21
Family Practice2
Internal Medicine2
Critical Care (Intensivists)1
General Surgery1

Nearest to this location (20)

See all 52
Emily Barnewolt, FNP
Nurse Practitioner
NPI 1508325457
221 NE GLEN OAK AVE EMERGENCY DEPARTMENT
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Jennifer Chaney, APN
Nurse Practitioner
NPI 1205469988
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts MedicareSame address
Mario Miranda, DO
Family Practice
NPI 1376505420
221 NE GLEN OAK AVE
Peoria, IL 61603
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Katelyn Durdle, APRN
Nurse Practitioner
NPI 1831831817
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Amber Koth, FNP-C
Nurse Practitioner
NPI 1508388372
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOSSame address
Linda Okra-Boateng
Emergency Medicine
NPI 1790063139
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts MedicareSame address
Tonya Vining, MD
Emergency Medicine
NPI 1114989027
221 NE GLEN OAK AVE
Peoria, IL 61603
(309) 672-5522
✔ PECOS✔ Accepts Medicare0.1 mi
Valerie Fortier
Nurse Practitioner
NPI 1477062651
900 MAIN ST STE 630
Peoria, IL 61602
(309) 672-4433
✔ PECOS✔ Accepts Medicare0.2 mi
Kyle Brown, M.D.
Emergency Medicine
NPI 1891134151
OSF SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVE NORTH BUILDING 2620
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare0.2 mi
Carrie Roe-Fitzgerald, FNP
Nurse Practitioner
NPI 1265084842
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare0.2 mi
Danielle Smith, MD
Emergency Medicine
NPI 1952832735
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2553
✔ PECOS✔ Accepts Medicare0.2 mi
James Brown, M.D.
Emergency Medicine
NPI 1699704122
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2553
✔ PECOS✔ Accepts Medicare0.3 mi
Troy Cutler, M.D.
Emergency Medicine
NPI 1639108020
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2553
✔ PECOS✔ Accepts Medicare0.3 mi
William Fletchall, M.D.
Emergency Medicine
NPI 1285843011
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-6710
✔ PECOS✔ Accepts Medicare0.3 mi
James Hubler, M.D.
Emergency Medicine
NPI 1861428492
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2553
✔ PECOS0.3 mi
Zachary Miksanek
Emergency Medicine
NPI 1316351315
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-7257
✔ PECOS0.3 mi
Jennifer Roberts, D.O.
Emergency Medicine
NPI 1417157546
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare0.3 mi
John Voris, M.D.
Internal Medicine
NPI 1790125193
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare0.3 mi
Craig Koch, M.D
Emergency Medicine
NPI 1083020218
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-7257
✔ PECOS✔ Accepts Medicare0.5 mi
Aimee Hubler, FNP
Nurse Practitioner
NPI 1457706624
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1069
✔ PECOS3.6 mi
See all 52 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Epss, Llc- Metro Series's NPI number?

The NPI number for Epss, Llc- Metro Series is 1124782305. It was assigned to this organization in the NPPES registry on October 25, 2021.

Where is Epss, Llc- Metro Series located?

Epss, Llc- Metro Series is located at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5522.

What is Epss, Llc- Metro Series's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Epss, Llc- Metro Series enrolled in Medicare?

Yes. Epss, Llc- Metro Series is registered in the Medicare PECOS enrollment system.

When is Epss, Llc- Metro Series's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Illinois, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Epss, Llc- Metro Series?

According to the CMS Revalidation Reassignment List (October 2026 release), 52 clinicians in 6 Medicare specialties reassign their Medicare billing to Epss, Llc- Metro Series. A 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 the clinician's services. The largest specialties are Emergency Medicine (25), Nurse Practitioner (21) and Family Practice (2). Of these, 6 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Epss, Llc- Metro Series was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.