HEIDI L GENDRON APN
NPI 1295280303
Nurse Practitioner - Family in Peoria, IL

Q: What is Heidi Gendron's NPI number?

The NPI number for Heidi Gendron is 1295280303. It was assigned to this individual provider in the NPPES registry on August 18, 2016. The provider is also known as Heidi L Fontaine Apn.

Q: What is Heidi Gendron's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Heidi Gendron was last updated on June 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since August 18, 2016PECOS EnrolledAccepts Medicare Assignment

5114 N GLEN PARK PLACE RD, PEORIA, IL 61614(309) 683-8108 Get Directions Write a Review

NPPES record last updated: June 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 16, 2025, Aug 18, 2016 (2 updates tracked since 2016).

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About Heidi L Gendron Apn NPPES

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

HEIDI L GENDRON APN (NPI 1295280303) is an individual family provider in Peoria, Illinois, licensed in Illinois (209014710) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with St Joseph Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1295280303

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameHEIDI L GENDRONCredential: APN

Location Address5114 N GLEN PARK PLACE RDPeoria, IL 61614-4686

Mailing Address5114 N Glen Park Place RdPeoria, IL 61614-4686 · (309) 683-8108

Phone(309) 683-8108

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 18, 2016

Last NPPES UpdateJune 16, 20252 updates tracked since enumeration

NPPES CertifiedJune 16, 2025

✔ NPI 1295280303 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 · 209014710

5114 N GLEN PARK PLACE RD, Peoria, IL 61614

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Other Names 1

Former Name (1)Heidi L Fontaine Apn

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

Heidi L Gendron Apn 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 ID3870889710

PECOS Enrollment IDI20160901001631

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

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

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140162

Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County

Emergency services Birthing friendly

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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier28 claims28 services$22.41 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

JOY L MEACHUM LCSW

Social Worker (Clinical)