TYLER DANIEL WHITNEY DNP, APRN, ACNP-AG
NPI 1356124986
Nurse Practitioner - Acute Care in Peoria, IL

Active since August 16, 2023PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-2386 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 11, 2023, Aug 16, 2023 (2 updates tracked since 2023).

About Tyler Daniel Whitney Dnp, Aprn, Acnp-ag NPPES

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

TYLER DANIEL WHITNEY DNP, APRN, ACNP-AG (NPI 1356124986) is an individual acute care provider in Peoria, Illinois, licensed in Illinois (209.028088) and active in the NPI registry since August 2023. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2023).

NPPES Registry Identity

NPI1356124986
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameTYLER DANIEL WHITNEYCredential: DNP, APRN, ACNP-AG
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address10116 N Brookshire DrPeoria, IL 61615-6404 · (309) 267-2465
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2023
Enumeration DateAugust 16, 2023
Last NPPES UpdateOctober 11, 20232 updates tracked since enumeration
NPPES CertifiedOctober 11, 2023
NPI 1356124986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
Licenses Licensed in IL · 209.028088 Licensed in IL · 209028088
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209.028088 (IL)
Also ListedNurse Practitioner · Critical Care MedicineTaxonomy 363LC0200X · License 209.028088 (IL)
530 NE GLEN OAK AVE, Peoria, IL 61637

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

Tyler Daniel Whitney Dnp, Aprn, Acnp-ag 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 ID5597129650
PECOS Enrollment IDI20230908000686
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.

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 61637 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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Tyler Whitney's NPI number?

The NPI number for Tyler Whitney is 1356124986. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Tyler Whitney located?

Tyler Whitney practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-2386.

What is Tyler Whitney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tyler Whitney enrolled in Medicare?

Yes. Tyler Whitney 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.

Is Tyler Whitney affiliated with any hospitals?

According to CMS data, Tyler Whitney is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Tyler Whitney was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.