MRS. TIARA J MULLEN APRN
NPI 1164062196
Nurse Practitioner - Family in Peoria, IL

Active since January 07, 2020PECOS EnrolledAccepts Medicare Assignment
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2020, Jan 7, 2020 (2 updates tracked since 2020).

About Mrs. Tiara J Mullen Aprn NPPES

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

MRS. TIARA J MULLEN APRN (NPI 1164062196) is an individual family provider in Peoria, Illinois, licensed in Illinois (209020366) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164062196
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. TIARA J MULLENCredential: APRN
Location Address420 NE GLEN OAK AVE STE 401Peoria, IL 61603-3112
Mailing Address420 Ne Glen Oak Ave Ste 401Peoria, IL 61603-3112 · (309) 676-8123 · Fax (309) 676-8455
Fax(309) 676-8455
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 7, 2020
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
NPI 1164062196 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209020366
420 NE GLEN OAK AVE STE 401, Peoria, IL 61603

Accepted Insurance

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

Mrs. Tiara J Mullen Aprn 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 ID2466882972
PECOS Enrollment IDI20200424001232
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.

Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
26 services22 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
23 services18 patients

Hospital Affiliations CMS Care Compare

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

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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 20

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

Nurse Practitioner
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Nurse Practitioner (Family)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603

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 Tiara Mullen's NPI number?

The NPI number for Tiara Mullen is 1164062196. It was assigned to this individual provider in the NPPES registry on January 7, 2020.

Where is Tiara Mullen located?

Tiara Mullen practices at 420 NE Glen Oak Ave Ste 401, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Tiara Mullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tiara Mullen enrolled in Medicare?

Yes. Tiara Mullen 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.

What insurance does Tiara Mullen accept?

Health plans from Oscar Insurance Company list Tiara Mullen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Tiara Mullen affiliated with any hospitals?

According to CMS data, Tiara Mullen is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tiara Mullen was last updated on January 16, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.