PAMELA DOLOSZYCKI APN
NPI 1861563397
Nurse Practitioner - Pediatrics in Peoria, IL

Active since November 13, 2006PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST, SUITE 200, PEORIA, IL 61606(309) 672-5682(309) 672-3147 Get Directions Write a Review

NPPES record last updated: January 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pamela Doloszycki Apn NPPES

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

PAMELA DOLOSZYCKI APN (NPI 1861563397) is an individual pediatrics provider in Peoria, Illinois, licensed in Illinois (209-003010) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1861563397
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NamePAMELA DOLOSZYCKICredential: APN
Location Address1001 MAIN ST, SUITE 200Peoria, IL 61606-1907
Mailing Address1001 Main St, Suite 200Peoria, IL 61606-1907 · (309) 672-5682 · Fax (309) 672-3147
Fax(309) 672-3147
Sole ProprietorNo
Medical School CMSOtherGraduated 1978
Enumeration DateNovember 13, 2006
Last NPPES UpdateJanuary 21, 2009
NPI 1861563397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IL · 209-003010
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209003010 (IL)
1001 MAIN ST, Peoria, IL 61606

Other Identifiers 2

Other209-003010IL · Apn
Medicaid209003010IL

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

Pamela Doloszycki 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 ID648221648
PECOS Enrollment IDI20050208000176
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.
330 services302 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
269 services237 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
74 services72 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
18 services18 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61606 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.

Referred Medical Equipment & Supplies CMS DME claims 33

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
14 suppliers215 claims215 services$36.82 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
8 suppliers91 claims160 services$1.47 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
10 suppliers55 claims55 services$15.01 avg. paid by Medicare
Filter, disposable, used with aerosol compressor or ultrasonic generator A7013
DME-Other DME · category DE000N
2 suppliers16 claims30 services$0.53 avg. paid by Medicare
Aerosol mask, used with dme nebulizer A7015
DME-Other DME · category DE000N
5 suppliers18 claims21 services$1.22 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers105 claims105 services$89.47 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine (Critical Care Medicine)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, STE 200
PEORIA, IL 61606
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1001 MAIN ST, SUITE 300
PEORIA, IL 61606
Nurse Practitioner
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606
Clinical Nurse Specialist
1001 MAIN ST, 3RD FLOOR
PEORIA, IL 61606
Internal Medicine (Pulmonary Disease)
1001 MAIN ST, SUITE 200
PEORIA, IL 61606
Internal Medicine (Gastroenterology)
1001 MAIN ST, SUITE 500A
PEORIA, IL 61606

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 Pamela Doloszycki's NPI number?

The NPI number for Pamela Doloszycki is 1861563397. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Pamela Doloszycki located?

Pamela Doloszycki practices at 1001 Main St Suite 200, Peoria, IL 61606. The listed phone number is (309) 672-5682.

What is Pamela Doloszycki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Pamela Doloszycki enrolled in Medicare?

Yes. Pamela Doloszycki 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 Pamela Doloszycki affiliated with any hospitals?

According to CMS data, Pamela Doloszycki is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Pamela Doloszycki was last updated on January 21, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.