INNER WELLNESS OF CENTRAL ILLINOIS PLLC
NPI 1871164442
Nurse Practitioner - Psychiatric/Mental Health in East Peoria, IL

Active since July 06, 2021
2511 N MAIN ST, EAST PEORIA, IL 61611(309) 670-0459(309) 670-0416 Get Directions Write a Review

NPPES record last updated: August 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 13, 2021, Jul 6, 2021 (2 updates tracked since 2021).

About Inner Wellness Of Central Illinois Pllc NPPES

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

INNER WELLNESS OF CENTRAL ILLINOIS PLLC (NPI 1871164442) is a healthcare organization registered as a psychiatric/mental health in East Peoria, Illinois and active in the NPI registry since July 2021. The organization lists Jennifer Christine Alexander, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1871164442
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameINNER WELLNESS OF CENTRAL ILLINOIS PLLC
Location Address2511 N MAIN STEast Peoria, IL 61611
Mailing Address2511 N Main StEast Peoria, IL 61611 · (309) 670-0459 · Fax (309) 670-0416
Fax(309) 670-0416
Organization SubpartNo
Authorized OfficialJennifer Christine AlexanderMedical Director · (309) 670-0459
Enumeration DateJuly 6, 2021
Last NPPES UpdateAugust 13, 20212 updates tracked since enumeration
NPPES CertifiedAugust 13, 2021
✔ NPI 1871164442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
2511 N MAIN ST, East Peoria, IL 61611

Other Identifiers 3

Other1992233977IL · Npi
Other1205098480IL · Npi
Other1205470168Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Inner Wellness Of Central Illinois Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Inner Wellness Of Central Illinois PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Nurse Practitioner
NPI 1992233977
2511 N MAIN ST
East Peoria, IL 61611
(309) 670-0459
✔ PECOS✔ Accepts Medicare0.4 mi
Mental Health Counselor
NPI 1205470168
252 E WASHINGTON ST FL 2
East Peoria, IL 61611
(390) 216-4132
✔ PECOS11 mi
Mental Health Counselor
NPI 1205098480
2511 N MAIN ST
East Peoria, IL 61611
(309) 670-0459
✔ PECOS18 mi

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 Inner Wellness Of Central Illinois PLLC's NPI number?

The NPI number for Inner Wellness Of Central Illinois PLLC is 1871164442. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is Inner Wellness Of Central Illinois PLLC located?

Inner Wellness Of Central Illinois PLLC is located at 2511 N Main St, East Peoria, IL 61611. The listed phone number is (309) 670-0459.

What is Inner Wellness Of Central Illinois PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Inner Wellness Of Central Illinois PLLC enrolled in Medicare?

Yes. Inner Wellness Of Central Illinois PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Inner Wellness Of Central Illinois PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Inner Wellness Of Central Illinois PLLC, in Mental Health Counselor and Nurse Practitioner. 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. Of these, 1 practice 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 Inner Wellness Of Central Illinois PLLC was last updated on August 13, 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.