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ELIZA DICKERSON APRN
NPI 1437963717
Nurse Practitioner - Family in Peoria, IL

Active since February 05, 2025PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST, PEORIA, IL 61606(309) 672-4980 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eliza Dickerson Aprn NPPES

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

ELIZA DICKERSON APRN (NPI 1437963717) is an individual family provider in Peoria, Illinois, licensed in Illinois (209031196) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1437963717
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZA DICKERSONCredential: APRN
Location Address1001 MAIN STPeoria, IL 61606-1907
Mailing Address1001 Main StPeoria, IL 61606-1907 · (309) 676-4980
Phone(309) 672-4980
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 5, 2025
NPPES CertifiedFebruary 3, 2025
✔ NPI 1437963717 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 · 209031196
1001 MAIN ST, Peoria, IL 61606
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Eliza Dickerson Aprn 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 ID7012438997
PECOS Enrollment IDI20250307001210
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 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

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 61606 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.

JEREMIAH EDWARD CRABB VI M.D.
Internal Medicine (Critical Care Medicine)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
JAMIE DOUBET APN
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Peoria County (309) 495-0200
ILLINOIS SPECIALTY PHYSICIAN SERVICES AT OSF, LLC
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
PAUL A SIEBERT M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Peoria County (309) 495-0200
BRYNN N CINNAMON APN/CNP
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Peoria County (309) 672-4980
STEPHANIE CAIN APN, DNP
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Peoria County (309) 495-0200
KANINIKA VERMA MD
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
ILLINOIS GASTROENTEROLOGY INSTITUTE, PLLC
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Peoria County (309) 672-4980

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 Eliza Dickerson's NPI number?

The NPI number for Eliza Dickerson is 1437963717. It was assigned to this individual provider in the NPPES registry on February 5, 2025.

Where is Eliza Dickerson located?

Eliza Dickerson practices at 1001 Main St, Peoria, IL 61606. The listed phone number is (309) 672-4980.

What is Eliza Dickerson's specialty?

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

Is Eliza Dickerson enrolled in Medicare?

Yes. Eliza Dickerson 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 Eliza Dickerson affiliated with any hospitals?

According to CMS data, Eliza Dickerson is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Eliza Dickerson was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.