TRACY L VANAPELDOORN APRN, FNP-C
NPI 1790488617
Nurse Practitioner - Family in Bloomington, IL

Active since March 22, 2023PECOS EnrolledAccepts Medicare Assignment
1404 EASTLAND DR, BLOOMINGTON, IL 61701(309) 319-2393 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 27, 2023, Mar 22, 2023 (2 updates tracked since 2023).

About Tracy L Vanapeldoorn Aprn, Fnp-c NPPES

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

TRACY L VANAPELDOORN APRN, FNP-C (NPI 1790488617) is an individual family provider in Bloomington, Illinois, licensed in Illinois (209.026914) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790488617
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY L VANAPELDOORNCredential: APRN, FNP-C
Location Address1404 EASTLAND DRBloomington, IL 61701-3532
Mailing Address1404 Eastland DrBloomington, IL 61701-3532
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2023
Last NPPES UpdateMarch 27, 20232 updates tracked since enumeration
NPPES CertifiedMarch 27, 2023
NPI 1790488617 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 · 209.026914
1404 EASTLAND DR, Bloomington, IL 61701

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

Tracy L Vanapeldoorn Aprn, 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 ID446625305
PECOS Enrollment IDI20230405002848
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61701 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 7

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

Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1404 EASTLAND DR, UNIT 103
BLOOMINGTON, IL 61701
Surgery
1404 EASTLAND DR, STE 104
BLOOMINGTON, IL 61701
Audiologist
1404 EASTLAND DR, SUITE 203
BLOOMINGTON, IL 61701
Dentist (General Practice)
1404 EASTLAND DR, #102
BLOOMINGTON, IL 61701
Dentist (Periodontics)
1404 EASTLAND DR
BLOOMINGTON, IL 61701
Nurse Practitioner
1404 EASTLAND DR, SUITE 204
BLOOMINGTON, IL 61701
Nurse Practitioner (Family)
1404 EASTLAND DR, SUITE 204
BLOOMINGTON, IL 61701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790488617, enumerated as an "individual" on March 22, 2023.

The provider is located at 1404 EASTLAND DR BLOOMINGTON, IL 61701 and the phone number is (309) 319-2393.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.