GINA VON DER VELLEN APRN, CPNP
NPI 1578258877
Nurse Practitioner - Pediatrics in Peoria, IL
NPI Status: Active since April 11, 2023
Contact Information
530 NE GLEN OAK AVE
PEORIA, IL
ZIP 61637
Phone: (309) 624-9688
NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Jun 13, 2024, Apr 11, 2023 (2 updates tracked since 2023).
- Individual
- Female
- Nurse Practitioner
- Pediatrics
- PECOS Enrolled
About GINA VON DER VELLEN
This page provides the complete NPI Profile along with additional information for Gina Von Der Vellen, a provider established in Peoria, Illinois with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1578258877 assigned on April 2023. The practitioner's primary taxonomy code is 363LP0200X with license number 209029829 (IL). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1578258877
- Provider Name
- GINA VON DER VELLEN APRN, CPNP
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 530 NE GLEN OAK AVE PEORIA, IL 61637
- Location Phone
- (309) 624-9688
- Mailing Address
- 661 HARDING RD # 303F MORTON, IL 61550
- Mailing Phone
- (330) 714-6729
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 04-11-2023
- Last Update Date
- 10-17-2024
- Code Navigator
A nurse practitioner (NP) like Gina Von Der Vellen is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Pediatrics
- Taxonomy Code
- 363LP0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 209029829
- License State
- IL
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 163W00000X | Nursing Service Providers | Registered Nurse | 041566358 (IL) |
| 2 | 163WP0200X | Nursing Service Providers | Registered Nurse | RN.451803 (OH) |
Medicare Participation & PECOS Enrollment Status
Gina Von Der Vellen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 61637 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.71
- Minimum New Patient Price $54.8
- Maximum New Patient Price $168.44
- Average New Patient Copayment $21.42
- Minimum New Patient Copayment $13.7
- Maximum New Patient Copayment $42.11
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.25
- Minimum Established Patient Price $17.16
- Maximum Established Patient Price $136.56
- Average Established Patient Copayment $24.31
- Minimum Established Patient Copayment $4.29
- Maximum Established Patient Copayment $34.14
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1578258877, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PEORIA, IL 61637
PEORIA, IL 61637
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578258877, enumerated as an "individual" on April 11, 2023.
The provider is located at 530 NE GLEN OAK AVE PEORIA, IL 61637 and the phone number is (309) 624-9688.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
