JUSTYNA ANNA KOSCIELNIAK APRN, CNP
NPI 1902571235
Nurse Practitioner - Gerontology in Peoria, IL
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
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
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
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.
Medicare Billing Reassignment
Medicare enrollment records show Justyna Koscielniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILSaint James Hospital
Acute Care Hospitals · Pontiac, ILSt Joseph Medical Center
Acute Care Hospitals · Bloomington, ILPhysician 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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61606
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 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.
Which organization bills Medicare for Justyna Koscielniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justyna Koscielniak 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 Justyna Koscielniak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Justyna Koscielniak affiliated with any hospitals?
According to CMS data, Justyna Koscielniak is affiliated with St Mary Medical Center, Saint Francis Medical Center, 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 4 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.
# Justyna Anna Koscielniak, APRN, CNP · NPI 1902571235
Gerontology physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1902571235 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** 277004369 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1001 MAIN ST STE 200, Peoria, IL 61606-2035
- **Phone:** (309) 672-5682 · **Fax:** (309) 672-3147
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2021
## Record status
- **NPPES last updated:** June 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902571235) · Data from the CMS NPPES public registry.