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KYLE RYAN FARIS ACNPC-AG
NPI 1588480685
Nurse Practitioner - Gerontology in Peoria, IL

Active since November 23, 2024PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST STE 200, PEORIA, IL 61606(309) 672-5682(309) 672-3147 Get Directions Write a Review

NPPES record last updated: July 12, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 12, 2025, May 8, 2025, Nov 23, 2024 (3 updates tracked since 2024).

About Kyle Ryan Faris Acnpc-ag NPPES

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

KYLE RYAN FARIS ACNPC-AG (NPI 1588480685) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (209032698) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1588480685
Entity TypeIndividualMale
Primary Taxonomy363LG0600X
Provider Legal NameKYLE RYAN FARISCredential: ACNPC-AG
Location Address1001 MAIN ST STE 200Peoria, IL 61606-2035
Mailing Address10210 Ne 189th St Unit ABothell, WA 98011-3836 · (760) 217-8584
Phone(309) 672-5682
Fax(309) 672-3147
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 23, 2024
Last NPPES UpdateJuly 12, 20253 updates tracked since enumeration
NPPES CertifiedJuly 12, 2025
✔ NPI 1588480685 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 · 209032698
1001 MAIN ST STE 200, Peoria, IL 61606
Open in Google Maps ↗

Secondary Practice Location 1

Location 1747 BroadwaySeattle, WA 98122-4307 · Phone (206) 215-3407

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

Kyle Ryan Faris Acnpc-ag 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 ID1254847023
PECOS Enrollment IDI20250718002091
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Francis Medical Center

Acute Care Hospitals · Peoria, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140067
Location530 NE Glen Oak AvePeoria, IL 61637 · 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 6

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

WYATT ANDREW VERPLAETSE MD
Allergy & Immunology
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 308-2010
KATELYNN MADDEN APRN, CNS
Clinical Nurse Specialist (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
ALAINA M TAYLOR
Nurse Practitioner
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 308-2010
JUSTYNA ANNA KOSCIELNIAK APRN, CNP
Nurse Practitioner (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
MATTHEW JOSEPH WILLIS APN
Nurse Practitioner
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
EMILY ANN CORONA
Nurse Practitioner (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682

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 Kyle Faris's NPI number?

The NPI number for Kyle Faris is 1588480685. It was assigned to this individual provider in the NPPES registry on November 23, 2024.

Where is Kyle Faris located?

Kyle Faris practices at 1001 Main St Ste 200, Peoria, IL 61606. The listed phone number is (309) 672-5682.

What is Kyle Faris's specialty?

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

Is Kyle Faris enrolled in Medicare?

Yes. Kyle Faris 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.

Is Kyle Faris affiliated with any hospitals?

According to CMS data, Kyle Faris is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Kyle Faris was last updated on July 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.