MANDIE GENEIL PRIOR DO
NPI 1518696780
Pediatrics in Peoria, IL
About Mandie Geneil Prior Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDIE GENEIL PRIOR DO (NPI 1518696780) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (036174739) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa (2022).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mandie Geneil Prior Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mandie Prior reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 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.
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.
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Mandie Prior's NPI number?
The NPI number for Mandie Prior is 1518696780. It was assigned to this individual provider in the NPPES registry on June 5, 2022. The provider is also known as Mandie Gassman Do.
Where is Mandie Prior located?
Mandie Prior practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-7171.
What is Mandie Prior's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Mandie Prior enrolled in Medicare?
Yes. Mandie Prior is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mandie Prior's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mandie Prior reassigns Medicare benefits to Osf Multi-Specialty Group (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 Mandie Prior'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 Mandie Prior was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mandie Geneil Prior, DO · NPI 1518696780
Pediatrics physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since June 5, 2022.
## Identity
- **NPI:** 1518696780 (Entity type: Individual)
- **Enumerated:** June 5, 2022
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 036174739 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-7171
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** At Still Un Of Hlth Sciences, Col Of Osteo Med, Mesa, class of 2022
## Record status
- **NPPES last updated:** April 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1518696780) · Data from the CMS NPPES public registry.