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SUSI MADRIGAL-LEON FNP-C
NPI 1346902459
Nurse Practitioner - Family in Peoria, IL

Active since October 06, 2021PECOS EnrolledAccepts Medicare Assignment
736 SW WASHINGTON ST, SUITE 2A, PEORIA, IL 61613(309) 497-0300 Get Directions Write a Review

NPPES record last updated: October 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susi Madrigal-leon Fnp-c NPPES

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

SUSI MADRIGAL-LEON FNP-C (NPI 1346902459) is an individual family provider in Peoria, Illinois, licensed in Illinois (209.022696) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346902459
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSUSI MADRIGAL-LEONCredential: FNP-C
Location Address736 SW WASHINGTON ST, SUITE 2APeoria, IL 61613-1643
Mailing Address736 Sw Washington St Ste 2aPeoria, IL 61602-1643 · (309) 497-0300
Phone(309) 497-0300
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 6, 2021
Last NPPES UpdateOctober 26, 2021
NPPES CertifiedOctober 26, 2021
✔ NPI 1346902459 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 · 209.022696
736 SW WASHINGTON ST, Peoria, IL 61613
Open in Google Maps ↗

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

Susi Madrigal-leon Fnp-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 ID8426439159
PECOS Enrollment IDI20220713000577
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
260 services216 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
33 services33 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61613 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.

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 Susi Madrigal-leon's NPI number?

The NPI number for Susi Madrigal-leon is 1346902459. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Susi Madrigal-leon located?

Susi Madrigal-leon practices at 736 SW Washington St Suite 2A, Peoria, IL 61613. The listed phone number is (309) 497-0300.

What is Susi Madrigal-leon's specialty?

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

Is Susi Madrigal-leon enrolled in Medicare?

Yes. Susi Madrigal-leon 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 Susi Madrigal-leon accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Susi Madrigal-leon 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 Susi Madrigal-leon affiliated with any hospitals?

According to CMS data, Susi Madrigal-leon is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Susi Madrigal-leon was last updated on October 26, 2021. 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.