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DA'KIRA KANISHA WHITE NP
NPI 1710629571
Nurse Practitioner - Family in Peoria, IL

Active since April 12, 2022PECOS EnrolledAccepts Medicare Assignment
5209 W WAR MEMORIAL DR, PEORIA, IL 61615(309) 308-5100 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Da'kira Kanisha White Np NPPES

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

DA'KIRA KANISHA WHITE NP (NPI 1710629571) is an individual family provider in Peoria, Illinois, licensed in Illinois (041429896) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1710629571
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDA'KIRA KANISHA WHITECredential: NP
Location Address5209 W WAR MEMORIAL DRPeoria, IL 61615-9250
Mailing Address3812 W Vinton AvePeoria, IL 61615-2972 · (309) 219-1403
Phone(309) 308-5100
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 12, 2022
NPPES CertifiedApril 12, 2022
✔ NPI 1710629571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 041429896
5209 W WAR MEMORIAL DR, Peoria, IL 61615
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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

Da'kira Kanisha White 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 ID2264810720
PECOS Enrollment IDI20220613000856
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.
141 services134 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.
25 services23 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 61615 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 Da'kira White's NPI number?

The NPI number for Da'kira White is 1710629571. It was assigned to this individual provider in the NPPES registry on April 12, 2022.

Where is Da'kira White located?

Da'kira White practices at 5209 W War Memorial Dr, Peoria, IL 61615. The listed phone number is (309) 308-5100.

What is Da'kira White's specialty?

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

Is Da'kira White enrolled in Medicare?

Yes. Da'kira White 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 Da'kira White affiliated with any hospitals?

According to CMS data, Da'kira White is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Da'kira White was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.