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PUNAM SUBHASHCHANDRA TRIVEDE APN
NPI 1790258473
Nurse Practitioner - Family in Peoria, IL

Active since January 06, 2019PECOS EnrolledAccepts Medicare Assignment
711 W JOHN GWYNN AVE, PEORIA, IL 61605(309) 680-7600(309) 671-2188 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 6, 2023, Mar 7, 2023, Feb 28, 2020 and 2 more (5 updates tracked since 2019).

About Punam Subhashchandra Trivede Apn NPPES

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

PUNAM SUBHASHCHANDRA TRIVEDE APN (NPI 1790258473) is an individual family provider in Peoria, Illinois, licensed in Illinois (209018588) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1790258473
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NamePUNAM SUBHASHCHANDRA TRIVEDECredential: APN
Location Address711 W JOHN GWYNN AVEPeoria, IL 61605-2270
Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7600
Phone(309) 680-7600
Fax(309) 671-2188
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 6, 2019
Last NPPES UpdateJuly 6, 20235 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
✔ NPI 1790258473 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 · 209018588
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209018588 (IL)
711 W JOHN GWYNN AVE, Peoria, IL 61605
Open in Google Maps ↗

Other Identifiers 1

Medicaid209018588IL

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

Punam Subhashchandra Trivede 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 ID547697732
PECOS Enrollment IDI20200228000326
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.
129 services126 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.
32 services30 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 61605 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 4

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims666 services$6.81 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims14,578 services$0.36 avg. paid by Medicare
Enteral nutrition infusion pump, any type B9002
Other-Enteral and Parenteral · category OB005N
1 supplier15 claims15 services$77.80 avg. paid by Medicare
Iv pole E0776
DME-Other DME · category DE000N
1 supplier23 claims23 services$11.54 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 4

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

DAVID GLENN SPRINGER M.D.
Family Medicine
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Peoria County (309) 680-7600
MRS. ROXIE N OLIVER-PAYNE MD
Family Medicine
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Peoria County (309) 680-7600
NATASHA VICTORIA RODRIGUEZ MANCEBO PA-C
Physician Assistant
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Peoria County (309) 680-7600
CRISTY LEE TOMASZEWSKI LCSW
Social Worker (Clinical)
711 W JOHN GWYNN AVE
PEORIA, IL 61605
Peoria County (309) 680-7600

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 Punam Trivede's NPI number?

The NPI number for Punam Trivede is 1790258473. It was assigned to this individual provider in the NPPES registry on January 6, 2019.

Where is Punam Trivede located?

Punam Trivede practices at 711 W John Gwynn Ave, Peoria, IL 61605. The listed phone number is (309) 680-7600.

What is Punam Trivede's specialty?

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

Is Punam Trivede enrolled in Medicare?

Yes. Punam Trivede 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 Punam Trivede affiliated with any hospitals?

According to CMS data, Punam Trivede is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Punam Trivede was last updated on July 6, 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.