MADISON ANNE DUNHAM APRN
NPI 1568244994
Nurse Practitioner - Gerontology in Peoria, IL

Q: What is Madison Dunham's NPI number?

The NPI number for Madison Dunham is 1568244994. It was assigned to this individual provider in the NPPES registry on October 19, 2023.

Q: What is Madison Dunham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Madison Dunham was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 19, 2023PECOS EnrolledAccepts Medicare Assignment

112 NE CRESCENT AVE, PEORIA, IL 61606(309) 672-4670 Get Directions Write a Review

NPPES record last updated: October 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Madison Anne Dunham Aprn NPPES

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

MADISON ANNE DUNHAM APRN (NPI 1568244994) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (209028486) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1568244994

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameMADISON ANNE DUNHAMCredential: APRN

Location Address112 NE CRESCENT AVEPeoria, IL 61606-1901

Mailing Address112 Ne Crescent AvePeoria, IL 61606-1901 · (309) 672-4670

Phone(309) 672-4670

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 19, 2023

NPPES CertifiedOctober 19, 2023

✔ NPI 1568244994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209028486

112 NE CRESCENT AVE, Peoria, IL 61606

Open in Google Maps ↗

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

Madison Anne Dunham 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 ID9739537267

PECOS Enrollment IDI20231122001015

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.

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

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 18

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

MS. COURTNEY M JAEGLE PA

Physician Assistant