SUSANNAH NICHOLSON DINTZIS FNP
NPI 1902848153
Nurse Practitioner - Family in Peoria, IL

Q: What is Susannah Dintzis's NPI number?

The NPI number for Susannah Dintzis is 1902848153. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Q: What is Susannah Dintzis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Susannah Dintzis was last updated on February 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 June 12, 2006PECOS EnrolledAccepts Medicare Assignment

2321 N WISCONSIN AVE, PEORIA, IL 61603(309) 680-7600(309) 681-4681 Get Directions Write a Review

NPPES record last updated: February 18, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Susannah Nicholson Dintzis Fnp NPPES

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

SUSANNAH NICHOLSON DINTZIS FNP (NPI 1902848153) is an individual family provider in Peoria, Illinois, licensed in Illinois (209-002547) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and maintains a secondary practice location in Peoria.

NPPES Registry Identity

NPI1902848153

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSUSANNAH NICHOLSON DINTZISCredential: FNP

Location Address2321 N WISCONSIN AVEPeoria, IL 61603-5613

Mailing Address2214 N University StPeoria, IL 61604-3221 · (309) 680-7669 · Fax (309) 681-8443

Phone(309) 680-7600

Fax(309) 681-4681

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJune 12, 2006

Last NPPES UpdateFebruary 18, 2019

✔ NPI 1902848153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209-002547

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 041283996 (IL)

2321 N WISCONSIN AVE, Peoria, IL 61603

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Secondary Practice Location 1

Location 1800 W Romeo B Garrett AvePeoria, IL 61605-2207 · Phone (309) 676-9825 · Fax (309) 672-1518

Other Identifiers 1

Other7215059IL · Bcbs Ppo

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

Susannah Nicholson Dintzis Fnp 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 ID3678876380

PECOS Enrollment IDI20160129000098

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 Reassignments

Medicare enrollment records show Susannah Dintzis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Heartland Community Health Clinic

Same address

Federally Qualified Health Center (FQHC)

2321 N WISCONSIN AVE
Peoria, IL 61603

Reassigned Medicare billing, Illinois enrollment
12 clinicians in this Medicare group

NPI 1467658443 (309) 680-7600

Methodist Medical Center Of Illinois

1.2 mi

General Acute Care Hospital

221 NE GLEN OAK AVE
Peoria, IL 61636

Reassigned Medicare billing, Illinois enrollment
198 clinicians in this Medicare group

NPI 1164474755 (309) 672-5522

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 2

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

Methodist Medical Center Of Illinois

Acute Care Hospitals · Peoria, IL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140209

Location221 N E Glen Oak AvePeoria, IL 61636 · Peoria County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61603 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 18

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

DR. JOHN AMBROSE MIHELCIC MD

Family Medicine