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MCKAYLA BANNISTER APRN
NPI 1164360616
Nurse Practitioner - Family in Peoria, IL

Active since March 24, 2026PECOS Enrolled
804 W TRAILCREEK DR, PEORIA, IL 61614(309) 670-0700 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mckayla Bannister Aprn NPPES

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

MCKAYLA BANNISTER APRN (NPI 1164360616) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.035099) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1164360616
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMCKAYLA BANNISTERCredential: APRN
Location Address804 W TRAILCREEK DRPeoria, IL 61614-1862
Mailing Address804 W Trailcreek DrPeoria, IL 61614-1862 · (309) 670-0700
Phone(309) 670-0700
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 24, 2026
NPPES CertifiedMarch 24, 2026
✔ NPI 1164360616 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 · 209.035099
804 W TRAILCREEK DR, Peoria, IL 61614
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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 (PECOS)

Mckayla Bannister Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830669423
PECOS Enrollment IDI20260526000032
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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

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

KHURRAM RASHID M.D.
Student in an Organized Health Care Education/Training Program
804 W TRAILCREEK DR
PEORIA, IL 61614
Peoria County (309) 670-0700

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 Mckayla Bannister's NPI number?

The NPI number for Mckayla Bannister is 1164360616. It was assigned to this individual provider in the NPPES registry on March 24, 2026.

Where is Mckayla Bannister located?

Mckayla Bannister practices at 804 W Trailcreek Dr, Peoria, IL 61614. The listed phone number is (309) 670-0700.

What is Mckayla Bannister's specialty?

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

Is Mckayla Bannister enrolled in Medicare?

Yes. Mckayla Bannister is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckayla Bannister was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.