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MRS. ANDREA CELESTE BLACKWELL
NPI 1295472900
Nurse Practitioner - Family in Peoria, IL

Active since May 14, 2022PECOS EnrolledAccepts Medicare Assignment
221 NE GLEN OAK AVE, LABOR AND DELIVERY, PEORIA, IL 61636(309) 241-6898 Get Directions Write a Review

NPPES record last updated: May 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Andrea Celeste Blackwell NPPES

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

MRS. ANDREA CELESTE BLACKWELL (NPI 1295472900) is an individual family provider in Peoria, Illinois, licensed in Illinois (209023881) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295472900
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. ANDREA CELESTE BLACKWELL
Location Address221 NE GLEN OAK AVE, LABOR AND DELIVERYPeoria, IL 61636-0001
Mailing Address14150 N Lake Windermere RdTremont, IL 61568-9287 · (309) 214-1382
Phone(309) 241-6898
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMay 14, 2022
NPPES CertifiedMay 14, 2022
✔ NPI 1295472900 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 · 209023881
221 NE GLEN OAK AVE, Peoria, IL 61636
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Andrea Celeste Mueller Msn, Aprn, Fnp-bc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mrs. Andrea Celeste Blackwell 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 ID4284019456
PECOS Enrollment IDI20220923002978
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 61636 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.

BRYCE HAMAMOTO
Student in an Organized Health Care Education/Training Program
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
RIAZ SHAH MD
Internal Medicine
221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636
Peoria County (309) 672-5729
CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD
Radiology (Radiation Oncology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5700
MIHAILO NIKOLIC
Nurse Anesthetist, Certified Registered
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5654
WAQAS ALI MD
Internal Medicine
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
ANNE LOOK APN
Nurse Practitioner (Acute Care)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-5522
DR. KENNETH STRUM M.D.
Anesthesiology
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 369-1761
DR. ANDREW BRIAN ARMSTRONG M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
221 NE GLEN OAK AVE
PEORIA, IL 61636
Peoria County (309) 672-4920

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 Andrea Blackwell's NPI number?

The NPI number for Andrea Blackwell is 1295472900. It was assigned to this individual provider in the NPPES registry on May 14, 2022. The provider is also known as Miss Andrea Celeste Mueller Msn, Aprn, Fnp-Bc.

Where is Andrea Blackwell located?

Andrea Blackwell practices at 221 NE Glen Oak Ave Labor And Delivery, Peoria, IL 61636. The listed phone number is (309) 241-6898.

What is Andrea Blackwell's specialty?

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

Is Andrea Blackwell enrolled in Medicare?

Yes. Andrea Blackwell 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.

What insurance does Andrea Blackwell accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Andrea Blackwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrea Blackwell was last updated on May 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.