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

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: November 01, 2026.

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
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

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Madison Dunham reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
120 NE GLEN OAK AVE, SUITE 101
Peoria, IL 61603
  • Reassigned Medicare billing, Illinois enrollment
  • 693 clinicians in this Medicare group
Internal Medicine
611 W PARK ST
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.

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 3

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell 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.

Physician Assistant
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Physician Assistant
112 NE CRESCENT AVE
PEORIA, IL 61606
Clinical Nurse Specialist
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Internal Medicine (Cardiovascular Disease)
112 NE CRESCENT AVE
PEORIA, IL 61606
Nurse Practitioner (Family)
112 NE CRESCENT AVE
PEORIA, IL 61606

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 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.

Where is Madison Dunham located?

Madison Dunham practices at 112 NE Crescent Ave, Peoria, IL 61606. The listed phone number is (309) 672-4670.

What is Madison Dunham's specialty?

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

Is Madison Dunham enrolled in Medicare?

Yes. Madison Dunham 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 Madison Dunham's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Dunham reassigns Medicare benefits to 2 organizations: Methodist Medical Center Of Illinois (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 Madison Dunham's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Madison Dunham affiliated with any hospitals?

According to CMS data, Madison Dunham is affiliated with Proctor Hospital, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

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 3 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.