SANDY NORTHCUTT
NPI 1174209704
Nurse Practitioner - Family in Peoria, IL

Active since June 27, 2023PECOS EnrolledAccepts Medicare Assignment
124 SW ADAMS ST, PEORIA, IL 61602(888) 209-3761 Get Directions Write a Review

NPPES record last updated: September 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sandy Northcutt NPPES

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

SANDY NORTHCUTT (NPI 1174209704) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.028107) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1174209704
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSANDY NORTHCUTT
Location Address124 SW ADAMS STPeoria, IL 61602-1308
Mailing Address252 N 45th RdMendota, IL 61342-9427 · (815) 303-2072
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 27, 2023
Last NPPES UpdateSeptember 22, 2023
NPPES CertifiedSeptember 22, 2023
NPI 1174209704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.028107
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 041.310284 (IL)
124 SW ADAMS ST, Peoria, IL 61602

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

Sandy Northcutt 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 ID8224491410
PECOS Enrollment IDI20230906001760
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 4

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 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.
133 services122 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
20 services19 patients
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.
17 services17 patients
Inhalation treatment for airway obstruction or sputum production 94640
Inhalation treatment, also known as nebulizer therapy, helps clear airway obstructions and reduce sputum production. It involves breathing in medication through a device, turning it into a mist. This can open up the airways, making breathing easier and helping to cough out mucus.
12 services12 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 61602 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 7

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

Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
124 SW ADAMS ST
PEORIA, IL 61602
Surgery
124 SW ADAMS ST
PEORIA, IL 61602
General Acute Care Hospital
124 SW ADAMS ST
PEORIA, IL 61602
Student in an Organized Health Care Education/Training Program
124 SW ADAMS ST
PEORIA, IL 61602
Nurse Practitioner (Family)
124 SW ADAMS ST
PEORIA, IL 61602
Physical Therapist
124 SW ADAMS ST
PEORIA, IL 61602
Social Worker (Clinical)
124 SW ADAMS ST
PEORIA, IL 61602

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 Sandy Northcutt's NPI number?

The NPI number for Sandy Northcutt is 1174209704. It was assigned to this individual provider in the NPPES registry on June 27, 2023.

Where is Sandy Northcutt located?

Sandy Northcutt practices at 124 SW Adams St, Peoria, IL 61602. The listed phone number is (888) 209-3761.

What is Sandy Northcutt's specialty?

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

Is Sandy Northcutt enrolled in Medicare?

Yes. Sandy Northcutt 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.

Is Sandy Northcutt affiliated with any hospitals?

According to CMS data, Sandy Northcutt is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Sandy Northcutt was last updated on September 22, 2023. 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.