MRS. BETH A SPECKHART APN
NPI 1154751436
Clinical Nurse Specialist - Oncology, Pediatrics in Peoria, IL

Active since November 22, 2013PECOS Enrolled
87.08/100
CMS Quality Rating
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-4945(309) 624-4289 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Beth A Speckhart Apn NPPES

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

MRS. BETH A SPECKHART APN (NPI 1154751436) is an individual oncology, pediatrics provider in Peoria, Illinois, licensed in Illinois (209.001360041.253087) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154751436
Entity TypeIndividualFemale
Primary Taxonomy364SX0204X
Provider Legal NameMRS. BETH A SPECKHARTCredential: APN
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-4945 · Fax (309) 624-4289
Fax(309) 624-4289
Sole ProprietorNo
Enumeration DateNovember 22, 2013
✔ NPI 1154751436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical Nurse Specialist · Oncology, PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SX0204X
License✔ Licensed in IL · 209.001360041.253087
530 NE GLEN OAK AVE, Peoria, IL 61637

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Beth A Speckhart Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Beth Speckhart reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrics
1 ILLINI DR
Peoria, IL 61605
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61637 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.79
Promoting Interoperability100
Improvement Activities40
Cost52.82

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.

Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Beth Speckhart's NPI number?

The NPI number for Beth Speckhart is 1154751436. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Beth Speckhart located?

Beth Speckhart practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-4945.

What is Beth Speckhart's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Oncology, Pediatrics, with taxonomy code 364SX0204X.

Is Beth Speckhart enrolled in Medicare?

Yes. Beth Speckhart is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Beth Speckhart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Beth Speckhart reassigns Medicare benefits to Board Of Trustees Of The University Of Illinois (Peoria, IL). The 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 Beth Speckhart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Beth Speckhart was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.