MRS. ANDREA CELESTE BLACKWELL
NPI 1295472900
Nurse Practitioner - Family in Peoria, IL
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Andrea Blackwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
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 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.
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.
PEORIA, IL 61636
PEORIA, IL 61636
PEORIA, IL 61636
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.
Which organization bills Medicare for Andrea Blackwell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Blackwell reassigns Medicare benefits to Osf Multi-Specialty Group (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 Andrea Blackwell'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 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.
# Mrs. Andrea Celeste Blackwell · NPI 1295472900
Family physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since May 14, 2022.
## Identity
- **NPI:** 1295472900 (Entity type: Individual)
- **Enumerated:** May 14, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209023881 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 NE GLEN OAK AVE, LABOR AND DELIVERY, Peoria, IL 61636-0001
- **Phone:** (309) 241-6898
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 14, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295472900) · Data from the CMS NPPES public registry.