CHANTELLE EVONNE PETERSON APN
NPI 1336655828
Nurse Practitioner - Psychiatric/Mental Health in Aledo, IL

Active since December 19, 2017PECOS EnrolledAccepts Medicare Assignment
28.55/100
CMS Quality Rating
1007 NW 3RD ST, ALEDO, IL 61231(309) 582-9450 Get Directions Write a Review

NPPES record last updated: December 19, 2017. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Chantelle Evonne Peterson Apn NPPES

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

CHANTELLE EVONNE PETERSON APN (NPI 1336655828) is an individual psychiatric/mental health provider in Aledo, Illinois, licensed in Illinois (209.016999) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1336655828
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameCHANTELLE EVONNE PETERSONCredential: APN
Location Address1007 NW 3RD STAledo, IL 61231-1317
Mailing Address13616 137th Ave WTaylor Ridge, IL 61284-9710 · (309) 912-6008
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateDecember 19, 2017
✔ NPI 1336655828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.016999
1007 NW 3RD ST, Aledo, IL 61231

Accepted Insurance

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

Chantelle Evonne Peterson 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 ID9830451152
PECOS Enrollment IDI20181108001481, I20240828001694, I20241223001746
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 Reassignments

8

Medicare enrollment records show Chantelle Peterson reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
1227 E RUSHOLME ST
Davenport, IA 52803
  • Reassigned Medicare billing, Iowa enrollment
  • 358 clinicians in this Medicare group
Internal Medicine
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Maryland, North Carolina and New Mexico enrollments
  • 116 clinicians in this Medicare group
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Iowa and New Mexico enrollments
  • 36 clinicians in this Medicare group
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, North Carolina enrollment
  • 63 clinicians in this Medicare group
Adult Mental Health
3200 WATERFIELD DR
Garner, NC 27529
  • Reassigned Medicare billing, North Carolina enrollment
  • 42 clinicians in this Medicare group
Psychiatry
192 VILLAGE DR
Jacksonville, NC 28546
  • Reassigned Medicare billing, North Carolina enrollment
  • 31 clinicians in this Medicare group
Surgery
1213 GUSDORF ROAD
Taos, NM 87571
  • Reassigned Medicare billing, New Mexico enrollment
  • 399 clinicians in this Medicare group
General Acute Care Hospital
2669 SCENIC DR
Alamogordo, NM 88310
  • Reassigned Medicare billing, New Mexico enrollment
  • 417 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.

Hospital Affiliations CMS Care Compare

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

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61231 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality21.38
Improvement Activities0
Cost55.97

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1007 NW 3RD ST
ALEDO, IL 61231
Clinic/Center
1007 NW 3RD ST
ALEDO, IL 61231
Nurse Practitioner (Family)
1007 NW 3RD ST
ALEDO, IL 61231
Social Worker (Clinical)
1007 NW 3RD ST
ALEDO, IL 61231
Nurse Practitioner (Family)
1007 NW 3RD ST
ALEDO, IL 61231
Clinic/Center
1007 NW 3RD ST
ALEDO, IL 61231
Social Worker (Clinical)
1007 NW 3RD ST
ALEDO, IL 61231
Family Medicine
1007 NW 3RD ST
ALEDO, IL 61231

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 Chantelle Peterson's NPI number?

The NPI number for Chantelle Peterson is 1336655828. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Chantelle Peterson located?

Chantelle Peterson practices at 1007 NW 3rd St, Aledo, IL 61231. The listed phone number is (309) 582-9450.

What is Chantelle Peterson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Chantelle Peterson enrolled in Medicare?

Yes. Chantelle Peterson 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 organizations bill Medicare for Chantelle Peterson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Chantelle Peterson reassigns Medicare benefits to 8 organizations: Genesis Health System (Davenport, IA), Access Telecare, PLLC (Dallas, TX), Forefront Telecare Inc (Dallas, TX), Forefront-Matteson Medical Services PC (Dallas, TX), Garner Behavioral Hospital, LLC (Garner, NC) and 3 more organizations, listed in the Medicare section above. Each 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 Chantelle Peterson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Chantelle Peterson accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare and Wellmark Health Plan of Iowa, Inc. list Chantelle Peterson 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.

Is Chantelle Peterson affiliated with any hospitals?

According to CMS data, Chantelle Peterson is affiliated with Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Chantelle Peterson was last updated on December 19, 2017. 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.