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DORY MICKNA FNP-C
NPI 1700507167
Nurse Practitioner in Pekin, IL

Active since September 06, 2022PECOS EnrolledAccepts Medicare Assignment
2301 COURT ST, PEKIN, IL 61554(309) 308-5100 Get Directions Write a Review

NPPES record last updated: September 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dory Mickna Fnp-c NPPES

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

DORY MICKNA FNP-C (NPI 1700507167) is an individual nurse practitioner in Pekin, Illinois, licensed in Illinois (209025883) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1700507167
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDORY MICKNACredential: FNP-C
Location Address2301 COURT STPekin, IL 61554-5304
Mailing Address11550 Ropp RdTremont, IL 61568-8803 · (309) 202-7808
Phone(309) 308-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 6, 2022
NPPES CertifiedAugust 30, 2022
✔ NPI 1700507167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209025883
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2301 COURT ST, Pekin, IL 61554
Open in Google Maps ↗

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

Dory Mickna Fnp-c 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 ID8022486430
PECOS Enrollment IDI20221116000773
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.

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
85 services81 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
21 services19 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 61554 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 5

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

OSF MULTI-SPECIALTY GROUP
Non-Pharmacy Dispensing Site
2301 COURT ST
PEKIN, IL 61554
Tazewell County (309) 308-5100
ASHLEY JEAN HUETTE APRN
Nurse Practitioner (Family)
2301 COURT ST
PEKIN, IL 61554
Tazewell County (309) 308-5100
DR. LOUISE M MEDEARIS DNP, APRN, FNP
Nurse Practitioner (Family)
2301 COURT ST
PEKIN, IL 61554
Tazewell County (303) 308-5100
JOCELE KELLY CASSIDY
Nurse Practitioner (Family)
2301 COURT ST
PEKIN, IL 61554
Tazewell County (309) 308-5100
HEIDI KELLERSTRASS APRN
Nurse Practitioner
2301 COURT ST
PEKIN, IL 61554
Tazewell County (309) 308-5100

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 Dory Mickna's NPI number?

The NPI number for Dory Mickna is 1700507167. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Dory Mickna located?

Dory Mickna practices at 2301 Court St, Pekin, IL 61554. The listed phone number is (309) 308-5100.

What is Dory Mickna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Dory Mickna enrolled in Medicare?

Yes. Dory Mickna 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 Dory Mickna affiliated with any hospitals?

According to CMS data, Dory Mickna is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Dory Mickna was last updated on September 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.