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HALEY OLSEN
NPI 1861180382
Family Medicine in Peoria, IL

Active since April 25, 2023PECOS EnrolledAccepts Medicare Assignment
815 MAIN ST STE A, PEORIA, IL 61602(309) 672-4977(309) 671-2580 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Haley Olsen NPPES

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

HALEY OLSEN (NPI 1861180382) is an individual family medicine provider in Peoria, Illinois, licensed in Illinois (036179036) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Springfield, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1861180382
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameHALEY OLSEN
Location Address815 MAIN ST STE APeoria, IL 61602-1080
Mailing Address815 Main St Ste APeoria, IL 61602-1080 · (309) 672-4977 · Fax (309) 671-2580
Phone(309) 672-4977
Fax(309) 671-2580
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateApril 25, 2023
Last NPPES UpdateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
✔ NPI 1861180382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036179036
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
815 MAIN ST STE A, Peoria, IL 61602
Open in Google Maps ↗

Secondary Practice Location 1

Location 13800 S National Ave Ste 700Springfield, MO 65807-5279 · Phone (417) 269-8817 · Fax (417) 269-8744

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Haley Olsen 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 ID9335603430
PECOS Enrollment IDI20260709003246
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.

Medicare Billing Reassignment

Medicare enrollment records show Haley Olsen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carle Health Medical Group
83 mi
Internal Medicine
611 W PARK ST
Urbana, IL 61801
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Carle Health Care Incorporated
  • 2,516 clinicians in this Medicare group
NPI 1154653947 (217) 383-8300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61602 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 11

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

IRAM YUNUS
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
AMANDA M EATON MD
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. KELVIN EARL WYNN MD
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. ASIM K JAFFER MD
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
DR. AARON COSTERISAN M.D.
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
TAARIQ GODER
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
CHRISTINA ANDERSON MD
Student in an Organized Health Care Education/Training Program
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977
PRABHJOT SINGH
Family Medicine
815 MAIN ST STE A
PEORIA, IL 61602
Peoria County (309) 672-4977

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 Haley Olsen's NPI number?

The NPI number for Haley Olsen is 1861180382. It was assigned to this individual provider in the NPPES registry on April 25, 2023.

Where is Haley Olsen located?

Haley Olsen practices at 815 Main St Ste A, Peoria, IL 61602. The listed phone number is (309) 672-4977.

What is Haley Olsen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Haley Olsen enrolled in Medicare?

Yes. Haley Olsen 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.

Which organization bills Medicare for Haley Olsen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Haley Olsen reassigns Medicare benefits to Carle Health Medical Group (Urbana, IL). The 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 Haley Olsen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Haley Olsen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Haley Olsen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haley Olsen was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.