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EPSS PEORIA LLC
NPI 1831421056
Emergency Medicine in Peoria, IL

Active since February 14, 2010
5409 N KNOXVILLE AVE, ER DEPARTMENT, PEORIA, IL 61614(309) 689-8603 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Epss Peoria Llc NPPES

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

EPSS PEORIA LLC (NPI 1831421056) is a healthcare organization registered as an emergency medicine in Peoria, Illinois and active in the NPI registry since February 2010. The organization lists James T Hubler, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1831421056
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameEPSS PEORIA LLC
Location Address5409 N KNOXVILLE AVE, ER DEPARTMENTPeoria, IL 61614-5069
Mailing Address6300 Ridglea Pl Ste 201Fort Worth, TX 76116-5707 · (817) 451-4208 · Fax (817) 563-3699
Phone(309) 689-8603
Organization SubpartNo
Authorized OfficialJames T HublerManaging Partner · (817) 451-4208
Enumeration DateFebruary 14, 2010
Last NPPES UpdateMay 24, 2021
NPPES CertifiedMay 24, 2021
✔ NPI 1831421056 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5409 N KNOXVILLE AVE, Peoria, IL 61614
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Epss Peoria Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

90

Medicare enrollment records show 90 clinicians reassign Medicare billing to Epss Peoria LLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 28 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 6

Emergency Medicine49
Nurse Practitioner34
Family Practice3
Internal Medicine2
General Surgery1
Hospitalist1

Nearest to this location (20)

See all 90
Cameron Alvarez
Nurse Practitioner
NPI 1821876939
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1000
✔ PECOSSame address
Chelsea Krejci
Nurse Practitioner
NPI 1043779861
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1069
✔ PECOS✔ Accepts MedicareSame address
Nicole Lovin, APN-CNP
Nurse Practitioner
NPI 1063806412
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1000
✔ PECOS✔ Accepts MedicareSame address
Melissa Catton, NP
Nurse Practitioner
NPI 1164912762
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1069
✔ PECOS✔ Accepts MedicareSame address
Aimee Hubler, FNP
Nurse Practitioner
NPI 1457706624
5409 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1069
✔ PECOS0.1 mi
Rachel Myers, NP
Nurse Practitioner
NPI 1669996781
5401 N KNOXVILLE AVE STE 203
Peoria, IL 61614
(309) 689-6093
✔ PECOS✔ Accepts Medicare0.3 mi
Colleen Cushing Ragon, APN, CNS
Nurse Practitioner
NPI 1073804217
5401 N KNOXVILLE AVE
Peoria, IL 61614
(309) 691-1069
✔ PECOS0.3 mi
Melissa Phelan, APN-FPA
Nurse Practitioner
NPI 1215313143
5901 N PROSPECT RD STE 106
Peoria, IL 61614
(309) 338-1762
✔ PECOS0.5 mi
Shelby Helmick
Nurse Practitioner
NPI 1548004658
4440 N PROSPECT RD STE A
Peoria Heights, IL 61616
(309) 248-6399
✔ PECOS1.5 mi
Michael Johnson, MD
Emergency Medicine
NPI 1285640276
8914 N KNOXVILLE AVE
Peoria, IL 61615
(309) 691-9110
✔ PECOS✔ Accepts Medicare3.0 mi
Tony Hsu, M.D.
Emergency Medicine
NPI 1962601351
3517 W WILLOW KNOLLS DR 1-F
Peoria, IL 61614
(309) 691-0925
✔ PECOS✔ Accepts Medicare3.1 mi
Craig Koch, M.D
Emergency Medicine
NPI 1083020218
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-7257
✔ PECOS✔ Accepts Medicare3.4 mi
Owen Brewer, MD
Emergency Medicine
NPI 1497384861
530 NE GLEN OAK AVE BLDG 2624
Peoria, IL 61637
(309) 655-6710
✔ PECOS✔ Accepts Medicare3.5 mi
Kyle Brown, M.D.
Emergency Medicine
NPI 1891134151
OSF SAINT FRANCIS MEDICAL CENTER 530 NE GLEN OAK AVE NORTH BUILDING 2620
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare3.5 mi
Trevor Parr
Emergency Medicine
NPI 1336768563
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2109
✔ PECOS✔ Accepts Medicare3.5 mi
Carrie Roe-Fitzgerald, FNP
Nurse Practitioner
NPI 1265084842
530 NE GLEN OAK AVE
Peoria, IL 61637
(309) 655-2000
✔ PECOS✔ Accepts Medicare3.5 mi
Katelyn Durdle, APRN
Nurse Practitioner
NPI 1831831817
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5522
✔ PECOS✔ Accepts Medicare3.6 mi
Emily Barnewolt, FNP
Nurse Practitioner
NPI 1508325457
221 NE GLEN OAK AVE EMERGENCY DEPARTMENT
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts Medicare3.6 mi
Matthew Mcmillin, MD
Family Practice
NPI 1528021987
221 NE GLEN OAK AVE
Peoria, IL 61603
(309) 672-5522
✔ PECOS✔ Accepts Medicare3.6 mi
Kristin Brown-Danzeisen, NP
Nurse Practitioner
NPI 1386929206
221 NE GLEN OAK AVE
Peoria, IL 61636
(309) 672-5500
✔ PECOS✔ Accepts Medicare3.7 mi
See all 90 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Epss Peoria LLC's NPI number?

The NPI number for Epss Peoria LLC is 1831421056. It was assigned to this organization in the NPPES registry on February 14, 2010.

Where is Epss Peoria LLC located?

Epss Peoria LLC is located at 5409 N Knoxville Ave ER Department, Peoria, IL 61614. The listed phone number is (309) 689-8603.

What is Epss Peoria LLC's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Epss Peoria LLC enrolled in Medicare?

Yes. Epss Peoria LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Epss Peoria LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 90 clinicians in 6 Medicare specialties reassign their Medicare billing to Epss Peoria LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (49), Nurse Practitioner (34) and Family Practice (3). Of these, 4 practice at this address and 28 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Epss Peoria LLC was last updated on May 24, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.