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KERRY DETWEILER APN
NPI 1386158822
Nurse Practitioner - Family in Peoria, IL

Active since November 20, 2017PECOS EnrolledAccepts Medicare Assignment
70.91/100
CMS Quality Rating
3525 N UNIVERSITY ST, PEORIA, IL 61604(309) 886-9172(309) 509-4045 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2025, Mar 7, 2023, Nov 20, 2017 (3 updates tracked since 2017).

About Kerry Detweiler Apn NPPES

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

KERRY DETWEILER APN (NPI 1386158822) is an individual family provider in Peoria, Illinois, licensed in Illinois (277002153) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1386158822
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKERRY DETWEILERCredential: APN
Location Address3525 N UNIVERSITY STPeoria, IL 61604-1324
Mailing AddressPo Box 9727Peoria, IL 61612-9727 · (309) 886-9172
Phone(309) 886-9172
Fax(309) 509-4045
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 20, 2017
Last NPPES UpdateAugust 13, 20253 updates tracked since enumeration
NPPES CertifiedAugust 13, 2025
✔ NPI 1386158822 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 · 277002153
3525 N UNIVERSITY ST, Peoria, IL 61604
Open in Google Maps ↗

Other Names 1

Former Name (1)Kerry Maloney

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

Kerry Detweiler 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 ID9931461449
PECOS Enrollment IDI20180321002100, I20260204001566
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.

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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.

70.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality54.01
Improvement Activities40

Other Providers at the Same Location NPPES 19

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

SHELBY J BERRY AUD
Audiologist-Hearing Aid Fitter
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (855) 476-5837
DAVID AKERELE MD
Pediatrics
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
MELISSA R NORRIS CNS
Clinical Nurse Specialist (Adult Health)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
SOLVERA HEALTHCARE CENTER INC
Pharmacy (Clinic Pharmacy)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
AUSTIN ARNOLD PHARM.D
Pharmacist
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
DR. GEORGE CARLTON GILBERT M.D.
Family Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
RICHARD F. SCHOCK MD
Emergency Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172
MUKHTAR ALI SYED MD
Internal Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Peoria County (309) 886-9172

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 Kerry Detweiler's NPI number?

The NPI number for Kerry Detweiler is 1386158822. It was assigned to this individual provider in the NPPES registry on November 20, 2017. The provider is also known as Kerry Maloney.

Where is Kerry Detweiler located?

Kerry Detweiler practices at 3525 N University St, Peoria, IL 61604. The listed phone number is (309) 886-9172.

What is Kerry Detweiler's specialty?

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

Is Kerry Detweiler enrolled in Medicare?

Yes. Kerry Detweiler 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 Kerry Detweiler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Kerry Detweiler 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 Kerry Detweiler affiliated with any hospitals?

According to CMS data, Kerry Detweiler is affiliated with Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Kerry Detweiler was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.