MICHAEL RYAN MANDRELL APRN
NPI 1528537388
Nurse Practitioner - Acute Care in Peoria, IL
About Michael Ryan Mandrell Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL RYAN MANDRELL APRN (NPI 1528537388) is an individual acute care provider in Peoria, Illinois, licensed in Illinois (209015693) and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Michael Ryan Mandrell 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michael Mandrell reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 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
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician 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 Michael Mandrell's NPI number?
The NPI number for Michael Mandrell is 1528537388. It was assigned to this individual provider in the NPPES registry on November 21, 2018.
Where is Michael Mandrell located?
Michael Mandrell practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.
What is Michael Mandrell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Michael Mandrell enrolled in Medicare?
Yes. Michael Mandrell 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 Michael Mandrell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mandrell reassigns Medicare benefits to 2 organizations: Osf Multi-Specialty Group (Peoria, IL) and Carle Health Medical Group (Urbana, IL). 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 Michael Mandrell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Mandrell affiliated with any hospitals?
According to CMS data, Michael Mandrell is affiliated with Saint Francis Medical Center and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Michael Mandrell was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.
# Michael Ryan Mandrell, APRN · NPI 1528537388
Acute Care physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since November 21, 2018.
## Identity
- **NPI:** 1528537388 (Entity type: Individual)
- **Enumerated:** November 21, 2018
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209015693 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 1, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1528537388) · Data from the CMS NPPES public registry.