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MANDIE L NEMETH APN
NPI 1467224113
Nurse Practitioner in Peoria, IL

Active since October 26, 2023PECOS EnrolledAccepts Medicare Assignment
8940 N WOOD SAGE RD, PEORIA, IL 61615(309) 243-3000(309) 243-3274 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 11, 2024, Oct 26, 2023 (2 updates tracked since 2023).

About Mandie L Nemeth Apn NPPES

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

MANDIE L NEMETH APN (NPI 1467224113) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209028463) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Katherine Shaw Bethea Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467224113
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMANDIE L NEMETHCredential: APN
Location Address8940 N WOOD SAGE RDPeoria, IL 61615-7822
Mailing Address8940 N Wood Sage RdPeoria, IL 61615-7822 · (309) 243-3000 · Fax (309) 243-3274
Phone(309) 243-3000
Fax(309) 243-3274
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateOctober 26, 2023
Last NPPES UpdateNovember 11, 20242 updates tracked since enumeration
NPPES CertifiedNovember 11, 2024
✔ NPI 1467224113 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209028463
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
8940 N WOOD SAGE RD, Peoria, IL 61615
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Mandie L Nemeth 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 ID1153774393
PECOS Enrollment IDI20240124002617
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mandie Nemeth reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Oncology-Hematology Associates Of Central Illinois P C
Same address
Hematology & Oncology
8940 N WOOD SAGE RD
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 69 clinicians in this Medicare group
NPI 1801896063 (309) 243-3000
Illinois Urologic Health Surgeons Sc
50 mi
Urology
2937 N IL ROUTE 178 UNIT 5
Utica, IL 61373
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
NPI 1316904964 (815) 664-5236
Altea Medical Illinois PLLC
115 mi
Geriatric Medicine
490 W 16TH PL
Chicago Heights, IL 60411
  • Reassigned Medicare billing, Illinois enrollment
  • 173 clinicians in this Medicare group
NPI 1447039227 (888) 408-7008
Post Acute Medical PLLC
691 mi
Geriatric Medicine
6710 MALLERY DR
Lanham, MD 20706
  • Reassigned Medicare billing, Illinois enrollment
  • 176 clinicians in this Medicare group
NPI 1730713025 (888) 408-7008

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 10

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
272 services99 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
114 services27 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
106 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
70 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
69 services16 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
44 services44 patients

Hospital Affiliations CMS Care Compare 5

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

Katherine Shaw Bethea Hospital

Acute Care Hospitals · Dixon, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140012
Location403 E 1st StDixon, IL 61021 · Lee County
Emergency services Birthing friendly

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

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

Osf Saint Clare Medical Center

Critical Access Hospitals · Princeton, IL
OwnershipGovernment - Local
CMS Certification Number141337
Location530 Park Avenue EastPrinceton, IL 61356 · Bureau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 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.

DEBRA E BEACH APN
Clinical Nurse Specialist
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000
AMY J KRUS RN
Registered Nurse
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3575
JIJUN LIU MD
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000
ONCOLOGY-HEMATOLOGY ASSOCIATES OF CENTRAL ILLINOIS P C
Pharmacy (Community/Retail Pharmacy)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3405
DR. PAUL A.S. FISHKIN MD
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000
PANKAJ KUMAR M.D.
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000
DR. JOHN W KUGLER MD
Internal Medicine (Hematology & Oncology)
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000
MRS. JESSICA M STEWART CNS
Clinical Nurse Specialist
8940 N WOOD SAGE RD
PEORIA, IL 61615
Peoria County (309) 243-3000

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 Mandie Nemeth's NPI number?

The NPI number for Mandie Nemeth is 1467224113. It was assigned to this individual provider in the NPPES registry on October 26, 2023.

Where is Mandie Nemeth located?

Mandie Nemeth practices at 8940 N Wood Sage Rd, Peoria, IL 61615. The listed phone number is (309) 243-3000.

What is Mandie Nemeth's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mandie Nemeth enrolled in Medicare?

Yes. Mandie Nemeth 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 organizations bill Medicare for Mandie Nemeth's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mandie Nemeth reassigns Medicare benefits to 4 organizations: Oncology-Hematology Associates Of Central Illinois P C (Peoria, IL), Illinois Urologic Health Surgeons Sc (Utica, IL), Altea Medical Illinois PLLC (Chicago Heights, IL) and Post Acute Medical PLLC (Lanham, MD). Each 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 Mandie Nemeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mandie Nemeth accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mandie Nemeth 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 Mandie Nemeth affiliated with any hospitals?

According to CMS data, Mandie Nemeth is affiliated with Katherine Shaw Bethea Hospital, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Methodist Medical Center Of Illinois and Osf Saint Clare Medical Center.

When was this NPI record last updated?

The NPPES record for Mandie Nemeth was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.