NISA MALEKI APRN
NPI 1740965078
Nurse Practitioner in Peoria, IL

Active since June 15, 2023PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Jun 15, 2023 (2 updates tracked since 2023).

About Nisa Maleki Aprn NPPES

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

NISA MALEKI APRN (NPI 1740965078) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209.027076) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Osf Saint Elizabeth Mdl Ctr, and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1740965078
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameNISA MALEKICredential: APRN
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 15, 2023
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPPES CertifiedJuly 5, 2023
NPI 1740965078 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 · 209.027076
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.
530 NE GLEN OAK AVE, Peoria, IL 61637

Secondary Practice Location 1

Location 11701 E College AveBloomington, IL 61704-2101 · Phone (309) 664-3800

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

Nisa Maleki Aprn 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 ID9638532740
PECOS Enrollment IDI20230822003500
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
313 services139 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
198 services110 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
34 services34 patients

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 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.

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.

Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637

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 Nisa Maleki's NPI number?

The NPI number for Nisa Maleki is 1740965078. It was assigned to this individual provider in the NPPES registry on June 15, 2023.

Where is Nisa Maleki located?

Nisa Maleki practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.

What is Nisa Maleki's specialty?

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

Is Nisa Maleki enrolled in Medicare?

Yes. Nisa Maleki 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 Nisa Maleki affiliated with any hospitals?

According to CMS data, Nisa Maleki 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 Nisa Maleki was last updated on July 5, 2023. 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.