JENNIFER MARIE CUNNINGHAM DNP, APRN, CPNP-PC
NPI 1205662400
Nurse Practitioner - Pediatrics in Peoria, IL

Q: What is Jennifer Cunningham's NPI number?

The NPI number for Jennifer Cunningham is 1205662400. It was assigned to this individual provider in the NPPES registry on September 12, 2024.

Q: What is Jennifer Cunningham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Active since September 12, 2024PECOS Enrolled

507 E ARMSTRONG AVE, PEORIA, IL 61603(309) 681-6960 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jennifer Marie Cunningham Dnp, Aprn, Cpnp-pc NPPES

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

JENNIFER MARIE CUNNINGHAM DNP, APRN, CPNP-PC (NPI 1205662400) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (209028264) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205662400

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameJENNIFER MARIE CUNNINGHAMCredential: DNP, APRN, CPNP-PC

Location Address507 E ARMSTRONG AVEPeoria, IL 61603-3201

Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 681-6960

Phone(309) 681-6960

Sole ProprietorNo

Enumeration DateSeptember 12, 2024

NPPES CertifiedSeptember 12, 2024

✔ NPI 1205662400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in IL · 209028264

507 E ARMSTRONG AVE, Peoria, IL 61603

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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)

Jennifer Marie Cunningham Dnp, Aprn, Cpnp-pc 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.

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.

MR. KRISTIN M FAULKNER

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