SHRONDA ANN PHILLIPS APN
NPI 1780231969
Nurse Practitioner in Peoria, IL

Active since August 21, 2019PECOS EnrolledAccepts Medicare Assignment
3525 N UNIVERSITY ST, PEORIA, IL 61604(309) 886-9172 Get Directions Write a Review

NPPES record last updated: January 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 6, 2022, Aug 21, 2019 (2 updates tracked since 2019).

About Shronda Ann Phillips Apn NPPES

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

SHRONDA ANN PHILLIPS APN (NPI 1780231969) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209018934) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and maintains a secondary practice location in Pontiac.

NPPES Registry Identity

NPI1780231969
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHRONDA ANN PHILLIPSCredential: APN
Location Address3525 N UNIVERSITY STPeoria, IL 61604-1324
Mailing AddressPo Box 9727Peoria, IL 61612-9727 · (309) 886-9172
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 21, 2019
Last NPPES UpdateJanuary 10, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2024
NPI 1780231969 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 · 209018934
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.
3525 N UNIVERSITY ST, Peoria, IL 61604

Secondary Practice Location 1

Location 1Pontiac Correctional Center, 700 W. Lincoln StreetPontiac, IL 61734 · Phone (815) 842-2816

Accepted Insurance

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

Shronda Ann Phillips Apn 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 ID2466784590
PECOS Enrollment IDI20191023000211
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.

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140209
Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61604 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

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

Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$148.37 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 19

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

Audiologist-Hearing Aid Fitter
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pediatrics
3525 N UNIVERSITY ST
PEORIA, IL 61604
Clinical Nurse Specialist (Adult Health)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Nurse Practitioner (Family)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pharmacy (Clinic Pharmacy)
3525 N UNIVERSITY ST
PEORIA, IL 61604
Pharmacist
3525 N UNIVERSITY ST
PEORIA, IL 61604
Family Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604
Emergency Medicine
3525 N UNIVERSITY ST
PEORIA, IL 61604

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 Shronda Phillips's NPI number?

The NPI number for Shronda Phillips is 1780231969. It was assigned to this individual provider in the NPPES registry on August 21, 2019.

Where is Shronda Phillips located?

Shronda Phillips practices at 3525 N University St, Peoria, IL 61604. The listed phone number is (309) 886-9172.

What is Shronda Phillips's specialty?

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

Is Shronda Phillips enrolled in Medicare?

Yes. Shronda Phillips 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.

What insurance does Shronda Phillips accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shronda Phillips as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shronda Phillips affiliated with any hospitals?

According to CMS data, Shronda Phillips is affiliated with Proctor Hospital, Saint Francis Medical Center and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Shronda Phillips was last updated on January 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.