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C DIANE REYNOLDS APN
NPI 1942503602
Nurse Practitioner in Peoria, IL

Active since December 17, 2010PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: August 24, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 24, 2023, Aug 17, 2023 (2 updates tracked since 2023).

About C Diane Reynolds Apn NPPES

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

C DIANE REYNOLDS APN (NPI 1942503602) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (277000768) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with Proctor Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2010).

NPPES Registry Identity

NPI1942503602
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameC DIANE REYNOLDSCredential: APN
Location Address900 MAIN STPeoria, IL 61602-1005
Mailing Address12156 N Tall Trees DrDunlap, IL 61525-9533 · (309) 264-0578
Phone(309) 353-0388
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2010
Enumeration DateDecember 17, 2010
Last NPPES UpdateAugust 24, 20232 updates tracked since enumeration
NPPES CertifiedAugust 24, 2023
✔ NPI 1942503602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277000768
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 277.000768 (IL)
900 MAIN ST, Peoria, IL 61602
Open in Google Maps ↗

Other Names 1

Former Name (1)Clara Diane Timm Apn

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

C Diane Reynolds Apn 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 ID8527205681
PECOS Enrollment IDI20130508000439
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
368 services229 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
319 services193 patients
Injection of trigger points, 3 or more muscles 20553
Trigger point injection therapy involves injecting medication into specific areas of your muscles, known as trigger points. These are areas that produce pain and discomfort. If you have three or more muscles affected, each will be treated individually.
20 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Proctor Hospital

Acute Care Hospitals · Peoria, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140013
Location5409 N Knoxville AvePeoria, IL 61614 · Peoria County
Emergency services

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

Pekin Memorial Hospital

Acute Care Hospitals · Pekin, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140120
Location600 South 13th StreetPekin, IL 61554 · Tazewell County
Emergency services

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 61602 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 20

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

KAREN MARGARET KYLE M.D.
Psychiatry & Neurology (Psychiatry)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
CATHERINE J KILBOURN LCSW
Social Worker (Clinical)
900 MAIN ST, SUITE 580
PEORIA, IL 61602
Peoria County (309) 637-4266
DR. JENNIFER REBECCA SHIBLEY PSY.D., M.S.
Psychologist (Clinical)
900 MAIN ST, SUITE 780
PEORIA, IL 61602
Peoria County (309) 672-5946
RYAN FAIRCHILD
Physical Therapist
900 MAIN ST, STE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
CRYSTAL CORZATT PT
Physical Therapist
900 MAIN ST, SUITE 450
PEORIA, IL 61602
Peoria County (309) 672-4568
LYNNE M JALOVEC, MD, SC
Surgery
900 MAIN ST, SUITE 310
PEORIA, IL 61602
Peoria County (309) 672-4174
MID ILLINI SURGICAL ASSOCIATES SC
Surgery
900 MAIN ST, SUITE 530
PEORIA, IL 61602
Peoria County (309) 672-5975
MICHAEL D. CASHMAN, M.D., S.C.
Internal Medicine (Gastroenterology)
900 MAIN ST, SUITE 490
PEORIA, IL 61602
Peoria County (309) 671-8313

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 C Reynolds's NPI number?

The NPI number for C Reynolds is 1942503602. It was assigned to this individual provider in the NPPES registry on December 17, 2010. The provider is also known as Clara Diane Timm Apn.

Where is C Reynolds located?

C Reynolds practices at 900 Main St, Peoria, IL 61602. The listed phone number is (309) 353-0388.

What is C Reynolds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is C Reynolds enrolled in Medicare?

Yes. C Reynolds 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 C Reynolds affiliated with any hospitals?

According to CMS data, C Reynolds is affiliated with Proctor Hospital, Saint Francis Medical Center, Pekin Memorial Hospital and Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for C Reynolds was last updated on August 24, 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.