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ELIZABETH DIEMER
NPI 1699539577
Nurse Practitioner - Family in Pontiac, IL

Active since February 12, 2024PECOS EnrolledAccepts Medicare Assignment
2500 W REYNOLDS ST STE 203, PONTIAC, IL 61764(815) 844-5115 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Elizabeth Diemer NPPES

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

ELIZABETH DIEMER (NPI 1699539577) is an individual family provider in Pontiac, Illinois, licensed in Illinois (209029298) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1699539577
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameELIZABETH DIEMER
Location Address2500 W REYNOLDS ST STE 203Pontiac, IL 61764-9774
Mailing Address1105 N Prairie View LnPontiac, IL 61764-1228 · (815) 992-7208
Phone(815) 844-5115
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 10, 2024
✔ NPI 1699539577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209029298
Also ListedRegistered Nurse · General PracticeTaxonomy 163WG0000X · License 041377192 (IL)
2500 W REYNOLDS ST STE 203, Pontiac, IL 61764
Open in Google Maps ↗

Other Names 1

Former Name (1)Elizabeth Talty

Secondary Practice Location 1

Location 11506 W Reynolds StPontiac, IL 61764-9674 · Phone (815) 844-6123

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

Elizabeth Diemer 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 ID8123463858
PECOS Enrollment IDI20240304001970
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 3

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61764 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.

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 Elizabeth Diemer's NPI number?

The NPI number for Elizabeth Diemer is 1699539577. It was assigned to this individual provider in the NPPES registry on February 12, 2024. The provider is also known as Elizabeth Talty.

Where is Elizabeth Diemer located?

Elizabeth Diemer practices at 2500 W Reynolds St Ste 203, Pontiac, IL 61764. The listed phone number is (815) 844-5115.

What is Elizabeth Diemer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Elizabeth Diemer enrolled in Medicare?

Yes. Elizabeth Diemer 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 Elizabeth Diemer affiliated with any hospitals?

According to CMS data, Elizabeth Diemer is affiliated with Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Elizabeth Diemer was last updated on February 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.