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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTYNA ANNA KOSCIELNIAK APRN, CNP
NPI 1902571235
Nurse Practitioner - Gerontology in Peoria, IL

Active since August 10, 2021PECOS EnrolledAccepts Medicare Assignment
1001 MAIN ST STE 200, PEORIA, IL 61606(309) 672-5682(309) 672-3147 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justyna Anna Koscielniak Aprn, Cnp NPPES

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

JUSTYNA ANNA KOSCIELNIAK APRN, CNP (NPI 1902571235) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (277004369) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1902571235
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJUSTYNA ANNA KOSCIELNIAKCredential: APRN, CNP
Location Address1001 MAIN ST STE 200Peoria, IL 61606-2035
Mailing Address2015 Tracy Dr Apt 3Bloomington, IL 61704-7523 · (619) 779-1392
Phone(309) 672-5682
Fax(309) 672-3147
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2021
Enumeration DateAugust 10, 2021
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1902571235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 277004369
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.023771 (IL)
1001 MAIN ST STE 200, Peoria, IL 61606
Open in Google Maps ↗

Other Names 1

Former Name (1)Justyna Anna Gano

Secondary Practice Location 1

Location 1530 NE Glen Oak AvePeoria, IL 61637-0001 · Phone (619) 779-1392

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

Justyna Anna Koscielniak Aprn, Cnp 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 ID4082012067
PECOS Enrollment IDI20211005002149
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

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

St Mary Medical Center

Acute Care Hospitals · Galesburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140064
Location3333 North SeminaryGalesburg, IL 61401 · Knox County
Emergency services Birthing friendly

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

Osf Saint Elizabeth Mdl Ctr

Acute Care Hospitals · Ottawa, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140110
Location1100 E Norris DriveOttawa, IL 61350 · La Salle County
Emergency services Birthing friendly

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean 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.

Other Providers at the Same Location NPPES 6

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

KYLE RYAN FARIS ACNPC-AG
Nurse Practitioner (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
WYATT ANDREW VERPLAETSE MD
Allergy & Immunology
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 308-2010
KATELYNN MADDEN APRN, CNS
Clinical Nurse Specialist (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
ALAINA M TAYLOR
Nurse Practitioner
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 308-2010
MATTHEW JOSEPH WILLIS APN
Nurse Practitioner
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682
EMILY ANN CORONA
Nurse Practitioner (Gerontology)
1001 MAIN ST STE 200
PEORIA, IL 61606
Peoria County (309) 672-5682

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 Justyna Koscielniak's NPI number?

The NPI number for Justyna Koscielniak is 1902571235. It was assigned to this individual provider in the NPPES registry on August 10, 2021. The provider is also known as Justyna Anna Gano.

Where is Justyna Koscielniak located?

Justyna Koscielniak practices at 1001 Main St Ste 200, Peoria, IL 61606. The listed phone number is (309) 672-5682.

What is Justyna Koscielniak's specialty?

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

Is Justyna Koscielniak enrolled in Medicare?

Yes. Justyna Koscielniak 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 Justyna Koscielniak affiliated with any hospitals?

According to CMS data, Justyna Koscielniak is affiliated with St Mary Medical Center, Saint Francis Medical Center, Osf Saint Elizabeth Mdl Ctr, Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Justyna Koscielniak was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.