JILL ANNE PRUVOST M.S., CCC-A
NPI 1366456527
Audiologist in Peoria, IL
About Jill Anne Pruvost M.s., Ccc-a NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL ANNE PRUVOST M.S., CCC-A (NPI 1366456527) is an individual audiologist in Peoria, Illinois, licensed in Illinois (147.001201) and active in the NPI registry since July 2006. She maintains a secondary practice location in Peoria and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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
Jill Anne Pruvost M.s., Ccc-a 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 Jill Pruvost reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61614
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Peoria Ear Nose And Throat Group Sc
- 16 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.
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61614 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.
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 Jill Pruvost's NPI number?
The NPI number for Jill Pruvost is 1366456527. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Jill Pruvost located?
Jill Pruvost practices at 7301 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 589-5900.
What is Jill Pruvost's specialty?
The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.
Is Jill Pruvost enrolled in Medicare?
Yes. Jill Pruvost 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 Jill Pruvost's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Pruvost reassigns Medicare benefits to Peoria Ear, Nose And Throat Group, S.C. (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 Jill Pruvost'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 Jill Pruvost was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days 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.
# Jill Anne Pruvost, M.S., CCC-A · NPI 1366456527
Audiologist provider in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1366456527 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Audiologist · taxonomy 231H00000X
- **State license:** 147.001201 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 7301 N KNOXVILLE AVE, Peoria, IL 61614-2017
- **Phone:** (309) 589-5900 · **Fax:** (309) 683-4120
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Peoria Ear, Nose And Throat Group, S.C. (NPI 1952380628, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 17, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1366456527) · Data from the CMS NPPES public registry.