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DORTHIA D CAMERON NP
NPI 1669838496
Nurse Practitioner - Primary Care in Peoria, IL

Active since January 09, 2016PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 624-8820(309) 624-8820 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 18, 2024, Nov 23, 2021, Jan 14, 2021 and 3 more (6 updates tracked since 2018).

About Dorthia D Cameron Np NPPES

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

DORTHIA D CAMERON NP (NPI 1669838496) is an individual primary care provider in Peoria, Illinois, licensed in Illinois (209030955) and active in the NPI registry since January 2016. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1669838496
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameDORTHIA D CAMERONCredential: NP
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 624-8820 · Fax (309) 624-8820
Phone(309) 624-8820
Fax(309) 624-8820
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 9, 2016
Last NPPES UpdateJuly 28, 20256 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1669838496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in IL · 209030955
Also ListedNurse PractitionerTaxonomy 363L00000X · License 6647 (WI)
530 NE GLEN OAK AVE, Peoria, IL 61637
Open in Google Maps ↗

Secondary Practice Locations 2

Location 110400 75th StKenosha, WI 53142-7884 · Phone (262) 948-7000
Location 22514 S 102nd St Ste 160West Allis, WI 53227-2142 · Phone (414) 255-0300 · Fax (414) 543-9601

Other Identifiers 1

Medicaid100054093WI

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

Dorthia D Cameron Np 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 ID8022314582
PECOS Enrollment IDI20250414003245
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

6

Medicare enrollment records show Dorthia Cameron reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Osf Multi-Specialty Group
7.4 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois and Wisconsin enrollments
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050
Maple Medical Sc
175 mi
Physical Medicine & Rehabilitation
2428 N GRANDVIEW BLVD STE 102
Waukesha, WI 53188
  • Reassigned Medicare billing, Wisconsin enrollment
  • 141 clinicians in this Medicare group
NPI 1487152104 (877) 307-3226
Oak Medical Sc
177 mi
Internal Medicine
N20W22961 WATERTOWN RD
Waukesha, WI 53186
  • Reassigned Medicare billing, Wisconsin enrollment
  • 191 clinicians in this Medicare group
NPI 1669910345 (262) 875-5070
Vpa PC
178 mi
Family Medicine
2514 S 102ND ST STE 160
West Allis, WI 53227
  • Reassigned Medicare billing, Wisconsin enrollment
  • 53 clinicians in this Medicare group
NPI 1255958344 (414) 255-0300
Iah Of Wisconsin, PLLC
179 mi
Family Medicine
13555 BISHOPS CT STE 315
Brookfield, WI 53005
  • Reassigned Medicare billing, Wisconsin enrollment
  • 22 clinicians in this Medicare group
NPI 1861898090 (248) 824-6000
Milwaukee Cardiac Care LLC
185 mi
Cardiovascular Disease
5434 W CAPITOL DR STE 1, #1
Milwaukee, WI 53216
  • Reassigned Medicare billing, Wisconsin enrollment
  • 5 clinicians in this Medicare group
NPI 1982625885 (414) 442-5400

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 9

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
199 services69 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
171 services86 patients
Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes 99347
An established patient home visit is a service where a healthcare professional visits your home for a 15-minute check-up. It's designed for patients who have previously seen the professional. The visit may include basic health assessments and discussions about your ongoing care.
163 services88 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
49 services36 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
36 services31 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
24 services16 patients

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 61637 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4036
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$4.40 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims1,910 services$0.39 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.98 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 Dorthia Cameron's NPI number?

The NPI number for Dorthia Cameron is 1669838496. It was assigned to this individual provider in the NPPES registry on January 9, 2016.

Where is Dorthia Cameron located?

Dorthia Cameron practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 624-8820.

What is Dorthia Cameron's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Dorthia Cameron enrolled in Medicare?

Yes. Dorthia Cameron 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 Dorthia Cameron's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dorthia Cameron reassigns Medicare benefits to 6 organizations: Osf Multi-Specialty Group (Peoria, IL), Maple Medical Sc (Waukesha, WI), Oak Medical Sc (Waukesha, WI), Vpa PC (West Allis, WI), Iah Of Wisconsin, PLLC (Brookfield, WI) and 1 more organization, listed in the Medicare section above. 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 Dorthia Cameron's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Dorthia Cameron affiliated with any hospitals?

According to CMS data, Dorthia Cameron is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Dorthia Cameron was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.