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ALEXIS RENEE PRIDDY
NPI 1881274785
Internal Medicine in Peoria, IL

Active since April 13, 2021PECOS EnrolledAccepts Medicare Assignment
5114 N GLEN PARK PLACE RD STE 110, PEORIA, IL 61614(309) 683-5600(309) 683-5607 Get Directions Write a Review

NPPES record last updated: January 7, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 7, 2025, Apr 13, 2021 (2 updates tracked since 2021).

About Alexis Renee Priddy NPPES

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

ALEXIS RENEE PRIDDY (NPI 1881274785) is an individual internal medicine provider in Peoria, Illinois, licensed in Illinois (036172706) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881274785
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameALEXIS RENEE PRIDDY
Location Address5114 N GLEN PARK PLACE RD STE 110Peoria, IL 61614-4686
Mailing Address5114 N Glen Park Place Rd Ste 110Peoria, IL 61614-4686 · (309) 683-5600 · Fax (309) 683-5607
Phone(309) 683-5600
Fax(309) 683-5607
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 13, 2021
Last NPPES UpdateJanuary 7, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2025
✔ NPI 1881274785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036172706
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 036172706 (IL), 13452 (GA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5114 N GLEN PARK PLACE RD STE 110, Peoria, IL 61614
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1744 First Street, MSC#83Macon, GA 31201 · Phone (478) 633-1851
Location 2777 Hemlock StMacon, GA 31201-2102 · Phone (478) 633-1000

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

Alexis Renee Priddy 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 ID7416351093
PECOS Enrollment IDI20250115003307
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 Alexis Priddy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osf Multi-Specialty Group
3.9 mi
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1922445527 (309) 683-5050

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

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 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
$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 4

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

DANIEL C LEMAN APRN, CNP
Nurse Practitioner (Family)
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614
Peoria County (309) 683-5600
MR. ZACHARY SCOTT DRAWHON APRN, FNP-C
Nurse Practitioner
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614
Peoria County (309) 683-5600
LAUREN LOWE PA-C
Physician Assistant
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614
Peoria County (309) 683-5600
TAMARRA LYNN SUBYANTORO APN
Nurse Practitioner (Family)
5114 N GLEN PARK PLACE RD STE 110
PEORIA, IL 61614
Peoria County (309) 683-5600

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 Alexis Priddy's NPI number?

The NPI number for Alexis Priddy is 1881274785. It was assigned to this individual provider in the NPPES registry on April 13, 2021.

Where is Alexis Priddy located?

Alexis Priddy practices at 5114 N Glen Park Place Rd Ste 110, Peoria, IL 61614. The listed phone number is (309) 683-5600.

What is Alexis Priddy's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Alexis Priddy enrolled in Medicare?

Yes. Alexis Priddy 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 Alexis Priddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexis Priddy reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, 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 Alexis Priddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alexis Priddy affiliated with any hospitals?

According to CMS data, Alexis Priddy is affiliated with Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Alexis Priddy was last updated on January 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.