REBECCA ULTCH PA
NPI 1821054297
Physician Assistant - Medical in Peoria, IL

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
7309 N KNOXVILLE AVE, PEORIA, IL 61614(309) 692-9898(309) 692-9055 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rebecca Ultch Pa NPPES

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

REBECCA ULTCH PA (NPI 1821054297) is an individual medical provider in Peoria, Illinois, licensed in Illinois (085002060) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1821054297
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameREBECCA ULTCHCredential: PA
Location Address7309 N KNOXVILLE AVEPeoria, IL 61614-2085
Mailing AddressPo Box 19248Springfield, IL 62794-9248 · (217) 528-7541
Fax(309) 692-9055
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 25, 2006
Last NPPES UpdateFebruary 24, 2025
NPPES CertifiedFebruary 24, 2025
NPI 1821054297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085002060
7309 N KNOXVILLE AVE, Peoria, IL 61614

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

Rebecca Ultch Pa 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 ID5991608358
PECOS Enrollment IDI20040202000118
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 5

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.
155 services109 patients
Limited ultrasound scan behind abdominal cavity 76775
A limited ultrasound scan behind the abdominal cavity is a non-invasive imaging method that helps visualize structures in the back of your abdomen. This procedure uses sound waves to create pictures of these areas, assisting in diagnosing certain conditions.
93 services62 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
86 services70 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
42 services42 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.
34 services31 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Hopedale Hospital

Critical Access Hospitals · Hopedale, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141330
Location107 Tremont StreetHopedale, IL 61747 · Tazewell County
Emergency services

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.

Physician Assistant (Surgical)
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Anesthesiology
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Urology
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Practitioner (Family)
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614
Nurse Anesthetist, Certified Registered
7309 N KNOXVILLE AVE
PEORIA, IL 61614

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 Rebecca Ultch's NPI number?

The NPI number for Rebecca Ultch is 1821054297. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Rebecca Ultch located?

Rebecca Ultch practices at 7309 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 692-9898.

What is Rebecca Ultch's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Rebecca Ultch enrolled in Medicare?

Yes. Rebecca Ultch 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 Rebecca Ultch affiliated with any hospitals?

According to CMS data, Rebecca Ultch is affiliated with Saint Francis Medical Center, Memorial Medical Center and Hopedale Hospital.

When was this NPI record last updated?

The NPPES record for Rebecca Ultch was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.