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MR. HEATHER L DENTINO APN
NPI 1831898014
Obstetrics & Gynecology - Gynecology in Peoria, IL

Active since February 27, 2023PECOS EnrolledAccepts Medicare Assignment
6708 N KNOXVILLE AVE, PEORIA, IL 61614(309) 692-6838(309) 691-6858 Get Directions Write a Review

NPPES record last updated: February 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Heather L Dentino Apn NPPES

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

MR. HEATHER L DENTINO APN (NPI 1831898014) is an individual gynecology provider in Peoria, Illinois, licensed in Illinois (209026831) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1831898014
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameMR. HEATHER L DENTINOCredential: APN
Location Address6708 N KNOXVILLE AVEPeoria, IL 61614-2862
Mailing Address6708 N Knoxville AvePeoria, IL 61614-2862 · (309) 692-6838 · Fax (309) 691-6858
Phone(309) 692-6838
Fax(309) 691-6858
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 27, 2023
NPPES CertifiedFebruary 27, 2023
✔ NPI 1831898014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in IL · 209026831
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
6708 N KNOXVILLE AVE, Peoria, IL 61614
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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

Mr. Heather L Dentino 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 ID5597122663
PECOS Enrollment IDI20230605002278
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 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61614 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 5

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

SUSAN LANG CNM
Midwife
6708 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 691-6868
LESLIE J RUSCH-BAYER
Dietitian, Registered
6708 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 692-6838
TOUCHSTONE IMAGING OF PEORIA, LLC
Clinic/Center (Radiology)
6708 N KNOXVILLE AVE, SUITE 2
PEORIA, IL 61614
Peoria County (309) 692-7674
TOUCHSTONE IMAGING OF PEORIA, LLC
Clinical Medical Laboratory
6708 N KNOXVILLE AVE, SUITE 2
PEORIA, IL 61614
Peoria County (309) 692-7674
MRS. MICHELE A COURI M.D.
Specialist
6708 N KNOXVILLE AVE, SUITE 1
PEORIA, IL 61614
Peoria County (309) 692-6838

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 Heather Dentino's NPI number?

The NPI number for Heather Dentino is 1831898014. It was assigned to this individual provider in the NPPES registry on February 27, 2023.

Where is Heather Dentino located?

Heather Dentino practices at 6708 N Knoxville Ave, Peoria, IL 61614. The listed phone number is (309) 692-6838.

What is Heather Dentino's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Heather Dentino enrolled in Medicare?

Yes. Heather Dentino 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 Heather Dentino affiliated with any hospitals?

According to CMS data, Heather Dentino is affiliated with Saint Francis Medical Center and Northwestern Medicine Central Dupage Hospital.

When was this NPI record last updated?

The NPPES record for Heather Dentino was last updated on February 27, 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.