ANDREA PETERS AGPCNP-C
NPI 1902356835
Nurse Practitioner - Gerontology in Springfield, IL

Q: What is Andrea Peters's NPI number?

The NPI number for Andrea Peters is 1902356835. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Q: What is Andrea Peters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Peters was last updated on February 9, 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.

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment

319 E MADISON ST STE 1F, SPRINGFIELD, IL 62701(217) 545-8000 Get Directions Write a Review

NPPES record last updated: February 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2023, Nov 14, 2016 (2 updates tracked since 2016).

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About Andrea Peters Agpcnp-c NPPES

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

ANDREA PETERS AGPCNP-C (NPI 1902356835) is an individual gerontology provider in Springfield, Illinois, licensed in Illinois (209014692) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1902356835

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameANDREA PETERSCredential: AGPCNP-C

Location Address319 E MADISON ST STE 1FSpringfield, IL 62701-3118

Mailing Address520 N 4th St, Po Box 19639Springfield, IL 62794-9639 · (217) 545-8000 · Fax (217) 747-1351

Phone(217) 545-8000

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateOctober 4, 2016

Last NPPES UpdateFebruary 9, 20232 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2023

✔ NPI 1902356835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in IL · 209014692

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 209014692 (IL)

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209014692 (IL)

319 E MADISON ST STE 1F, Springfield, IL 62701

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Secondary Practice Location 1

Location 1520 N 4th StSpringfield, IL 62702-5238 · Phone (217) 545-8000 · Fax (217) 747-1351

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

Andrea Peters Agpcnp-c 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 ID4183903594

PECOS Enrollment IDI20161107002322

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

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Memorial Medical Center

Acute Care Hospitals · Springfield, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140148

Location701 N First StSpringfield, IL 62702 · Sangamon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62701 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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

4 suppliers15 claims57 services$7.19 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers12 claims12 services$2.95 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers43 claims44 services$88.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims33 services$33.18 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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.

DR. JAMIE WALLMAN MD

Family Medicine