METHODIST MEDICAL CENTER OF ILLINOIS
NPI 1609685189
Nurse Practitioner - School in Peoria, IL

Active since December 30, 2024
6301 N UNIVERSITY ST, PEORIA, IL 61614(309) 692-6650 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Methodist Medical Center Of Illinois NPPES

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

METHODIST MEDICAL CENTER OF ILLINOIS (NPI 1609685189), doing business as Carle Health Peoria In School Health Richwoods, is a healthcare organization registered as a school in Peoria, Illinois and active in the NPI registry since December 2024. The organization lists Keith Knepp, President, as its authorized official.

NPPES Registry Identity

NPI1609685189
Entity TypeOrganization
Primary Taxonomy363LS0200X
Legal Business NameMETHODIST MEDICAL CENTER OF ILLINOIS
Location Address6301 N UNIVERSITY STPeoria, IL 61614-3453
Mailing Address221 Ne Glen Oak AvePeoria, IL 61636-0001 · (309) 672-5522
Organization SubpartNo
Authorized OfficialKeith KneppPresident · (309) 671-2528
Enumeration DateDecember 30, 2024
NPPES CertifiedDecember 30, 2024
NPI 1609685189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · SchoolPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LS0200X
6301 N UNIVERSITY ST, Peoria, IL 61614

Other Names 1

Doing Business AsCarle Health Peoria In School Health Richwoods

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Methodist Medical Center Of Illinois's NPI number?

The NPI number for Methodist Medical Center Of Illinois is 1609685189. It was assigned to this organization in the NPPES registry on December 30, 2024. The provider is doing business as Carle Health Peoria In School Health Richwoods.

Where is Methodist Medical Center Of Illinois located?

Methodist Medical Center Of Illinois is located at 6301 N University St, Peoria, IL 61614. The listed phone number is (309) 692-6650.

What is Methodist Medical Center Of Illinois's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in School, with taxonomy code 363LS0200X.

When was this NPI record last updated?

The NPPES record for Methodist Medical Center Of Illinois was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.