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NICOLAAS MICHAEL JONGERIUS MD
NPI 1235144056
Family Medicine in Peoria, IL

Active since July 30, 2006PECOS Enrolled
5016 UNIVERSITY AVENUE SUITE 107, PEORIA, IL 61614(309) 740-4232 Get Directions Write a Review

NPPES record last updated: July 7, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicolaas Michael Jongerius Md NPPES

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

NICOLAAS MICHAEL JONGERIUS MD (NPI 1235144056) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036068987) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235144056
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLAAS MICHAEL JONGERIUSCredential: MD
Location Address5016 UNIVERSITY AVENUE SUITE 107Peoria, IL 61614
Mailing Address5016 University Avenue Suite 107Peoria, IL 61614 · (309) 740-4232
Phone(309) 740-4232
Sole ProprietorYes
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 7, 2011
✔ NPI 1235144056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036068987
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5016 UNIVERSITY AVENUE SUITE 107, Peoria, IL 61614
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Other Identifiers 7

OtherIL01P9IL · John Deere
Medicare UPINC47976IL
Other080039157IL · Railroad Medicare
Other7215059IL · Bcbs Ppo
Other472311IL · Healthlink
Medicare PINK00093IL
Medicaid0360689871IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolaas Michael Jongerius Md 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 Nicolaas Jongerius reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Proctor Health Systems
0.8 mi
Ambulatory Surgical
5401 N KNOXVILLE AVE, STE 217
Peoria, IL 61614
  • Reassigned Medicare billing, Illinois enrollment
  • 349 clinicians in this Medicare group
NPI 1720223837 (309) 691-1092

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 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.

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 Nicolaas Jongerius's NPI number?

The NPI number for Nicolaas Jongerius is 1235144056. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Nicolaas Jongerius located?

Nicolaas Jongerius practices at 5016 University Avenue Suite 107, Peoria, IL 61614. The listed phone number is (309) 740-4232.

What is Nicolaas Jongerius's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicolaas Jongerius enrolled in Medicare?

Yes. Nicolaas Jongerius is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicolaas Jongerius's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolaas Jongerius reassigns Medicare benefits to Proctor Health Systems (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 Nicolaas Jongerius'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 Nicolaas Jongerius was last updated on July 7, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.