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LAUREN M PETOSKEY PA-C
NPI 1285037929
Physician Assistant in Peoria, IL

Active since October 08, 2014PECOS EnrolledAccepts Medicare Assignment
8600 N STATE ROUTE 91, PEORIA, IL 61615(309) 683-5050(309) 683-5335 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lauren M Petoskey Pa-c NPPES

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

LAUREN M PETOSKEY PA-C (NPI 1285037929) is an individual physician assistant in Peoria, Illinois, licensed in Illinois (085-005301) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1285037929
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLAUREN M PETOSKEYCredential: PA-C
Location Address8600 N STATE ROUTE 91Peoria, IL 61615-9541
Mailing Address8600 N State Route 91Peoria, IL 61615-9541 · (309) 683-5050 · Fax (309) 683-5335
Phone(309) 683-5050
Fax(309) 683-5335
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 8, 2014
Last NPPES UpdateMarch 14, 2018
✔ NPI 1285037929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-005301
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
8600 N STATE ROUTE 91, Peoria, IL 61615
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Other Names 1

Former Name (1)Lauren M Bergstresser Pa-c

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

Lauren M Petoskey Pa-c 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 ID6507188638
PECOS Enrollment IDI20141201001071
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.

Hospital Affiliations CMS Care Compare 3

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

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

Osf Holy Family Medical Center

Critical Access Hospitals · Monmouth, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number141318
Location1000 W Harlem AvenueMonmouth, IL 61462 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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.

DR. MARTIN J HURD MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
BRITTANY N HEMMELE APN
Nurse Practitioner
8600 N STATE ROUTE 91
PEORIA, IL 61615
Peoria County (309) 683-5050
DR. JEREMY L KROCK DO
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. FRANK A RADOSEVICH MD
Anesthesiology
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. NYUNT TIN MD
Family Medicine
8600 N STATE ROUTE 91, SUITE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
MEGAN M CUNNINGHAM PA-C
Physician Assistant
8600 N STATE ROUTE 91
PEORIA, IL 61615
Peoria County (309) 683-5050
DR. RODNEY C OSBORN MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393
DR. JOHN K KULA MD
Anesthesiology
8600 N STATE ROUTE 91, STE 250
PEORIA, IL 61615
Peoria County (309) 692-5393

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 Lauren Petoskey's NPI number?

The NPI number for Lauren Petoskey is 1285037929. It was assigned to this individual provider in the NPPES registry on October 8, 2014. The provider is also known as Lauren M Bergstresser Pa-C.

Where is Lauren Petoskey located?

Lauren Petoskey practices at 8600 N State Route 91, Peoria, IL 61615. The listed phone number is (309) 683-5050.

What is Lauren Petoskey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lauren Petoskey enrolled in Medicare?

Yes. Lauren Petoskey 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 Lauren Petoskey affiliated with any hospitals?

According to CMS data, Lauren Petoskey is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Holy Family Medical Center.

When was this NPI record last updated?

The NPPES record for Lauren Petoskey was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.