TRACEY SAMANTHA PEACHEY FNP
NPI 1124872924
Nurse Practitioner in Kankakee, IL

Q: What is Tracey Peachey's NPI number?

The NPI number for Tracey Peachey is 1124872924. It was assigned to this individual provider in the NPPES registry on April 16, 2024.

Q: What is Tracey Peachey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Tracey Peachey was last updated on August 9, 2024. 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.

Active since April 16, 2024PECOS EnrolledAccepts Medicare Assignment

401 N WALL ST STE 102, KANKAKEE, IL 60901(815) 928-5090(815) 928-5079 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 9, 2024, Apr 16, 2024 (2 updates tracked since 2024).

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About Tracey Samantha Peachey Fnp NPPES

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

TRACEY SAMANTHA PEACHEY FNP (NPI 1124872924) is an individual nurse practitioner in Kankakee, Illinois, licensed in Illinois (209030161) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with Riverside Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1124872924

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameTRACEY SAMANTHA PEACHEYCredential: FNP

Location Address401 N WALL ST STE 102Kankakee, IL 60901-2934

Mailing Address401 N Wall St Ste 102Kankakee, IL 60901-2934 · (815) 928-5090

Phone(815) 928-5090

Fax(815) 928-5079

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 16, 2024

Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration

NPPES CertifiedAugust 9, 2024

✔ NPI 1124872924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209030161

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedRegistered NurseTaxonomy 163W00000X · License 041353756 (IL)

401 N WALL ST STE 102, Kankakee, IL 60901

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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

Tracey Samantha Peachey Fnp 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 ID1254879851

PECOS Enrollment IDI20240814001704

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 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.

77 services71 patients

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.

36 services35 patients

Hospital Affiliations CMS Care Compare

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

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60901 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 5

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

LISA PATEL MD

Internal Medicine