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ALLECIA THIBEAULT FNP
NPI 1548636327
Nurse Practitioner in Peoria, IL

Active since August 17, 2015PECOS Enrolled
2208 W WILLOW KNOLLS DR, PEORIA, IL 61614(309) 693-9600(309) 693-3616 Get Directions Write a Review

NPPES record last updated: April 21, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2021, Nov 23, 2020, Sep 26, 2018 and 2 more (5 updates tracked since 2017).

About Allecia Thibeault Fnp NPPES

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

ALLECIA THIBEAULT FNP (NPI 1548636327) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209013081) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1548636327
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameALLECIA THIBEAULTCredential: FNP
Location Address2208 W WILLOW KNOLLS DRPeoria, IL 61614-1467
Mailing AddressPo Box 31235Tucson, AZ 85751-1235 · (172) 752-0324 · Fax (520) 324-1700
Phone(309) 693-9600
Fax(309) 693-3616
Sole ProprietorNo
Enumeration DateAugust 17, 2015
Last NPPES UpdateApril 21, 20215 updates tracked since enumeration
NPPES CertifiedApril 21, 2021
✔ NPI 1548636327 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 · 209013081
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.
2208 W WILLOW KNOLLS DR, Peoria, IL 61614
Open in Google Maps ↗

Secondary Practice Locations 4

Location 110350 E Drexel Rd Unit 110Tucson, AZ 85747-9409 · Phone (520) 324-1727 · Fax (520) 324-1700
Location 23900 N Sabino Canyon RdTucson, AZ 85750-2130 · Phone (520) 324-1301 · Fax (520) 324-1345
Location 310350 E Drexel Rd Unit 170Tucson, AZ 85747-9411 · Phone (520) 324-8070 · Fax (520) 324-8071
Location 42424 N Wyatt Dr Ste 140Tucson, AZ 85712-6115 · Phone (520) 324-4690 · Fax (520) 324-4691

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Allecia Thibeault Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Allecia Thibeault reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Signify Health, LLC
672 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Arizona enrollment
  • 556 clinicians in this Medicare group
NPI 1689158487 (469) 466-7007
Tmc Medical Network
1,316 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmc Urgent Care
1,316 mi
Urgent Care
2424 N WYATT DR STE 140
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 48 clinicians in this Medicare group
NPI 1649759606 (520) 324-4690
Arizona Community Physicians PC
1,318 mi
Internal Medicine
5055 E BROADWAY BLVD, SUITE A100
Tucson, AZ 85711
  • Reassigned Medicare billing, Arizona enrollment
  • 264 clinicians in this Medicare group
NPI 1205871076 (520) 327-0460

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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 6

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

CHRISTINA LISOWSKI APN
Nurse Practitioner
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 233-0994
DR. KEITH ALLAN KRAMER D.C.
Chiropractor
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 693-9600
DANIEL Q CARTER PTA
Physical Therapy Assistant
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 693-9600
DR. STEPHANIE DAWN GRIFFITTS DC
Chiropractor
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 693-9600
KRAMER CHIROPRACTIC AND ACCUPUNCTURE CENTER LLC
Chiropractor
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 693-9600
MEGAN R SCHMIDT APN
Chiropractor
2208 W WILLOW KNOLLS DR
PEORIA, IL 61614
Peoria County (309) 693-9600

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 Allecia Thibeault's NPI number?

The NPI number for Allecia Thibeault is 1548636327. It was assigned to this individual provider in the NPPES registry on August 17, 2015.

Where is Allecia Thibeault located?

Allecia Thibeault practices at 2208 W Willow Knolls Dr, Peoria, IL 61614. The listed phone number is (309) 693-9600.

What is Allecia Thibeault's specialty?

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

Is Allecia Thibeault enrolled in Medicare?

Yes. Allecia Thibeault is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Allecia Thibeault's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Allecia Thibeault reassigns Medicare benefits to 4 organizations: Signify Health, LLC (Dallas, TX), Tmc Medical Network (Tucson, AZ), Tmc Urgent Care (Tucson, AZ) and Arizona Community Physicians PC (Tucson, AZ). 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 Allecia Thibeault's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Allecia Thibeault accept?

Health plans from Antidote Health Plan of Arizona, Inc. list Allecia Thibeault 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.

When was this NPI record last updated?

The NPPES record for Allecia Thibeault was last updated on April 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.