MATTHEW JOSEPH WILLIS APN
NPI 1942857545
Nurse Practitioner in Peoria, IL

Q: What is Matthew Willis's NPI number?

The NPI number for Matthew Willis is 1942857545. It was assigned to this individual provider in the NPPES registry on August 20, 2019.

Q: What is Matthew Willis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Willis was last updated on August 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 August 20, 2019PECOS 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: August 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Matthew Joseph Willis Apn NPPES

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

MATTHEW JOSEPH WILLIS APN (NPI 1942857545) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (209019778) and active in the NPI registry since August 2019. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942857545

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameMATTHEW JOSEPH WILLISCredential: APN

Location Address1001 MAIN ST STE 200Peoria, IL 61606-2035

Mailing Address1001 Main St Ste 200Peoria, IL 61606-2035 · (309) 672-5682 · Fax (309) 672-3147

Phone(309) 672-5682

Fax(309) 672-3147

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateAugust 20, 2019

✔ NPI 1942857545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209019778

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.

1001 MAIN ST STE 200, Peoria, IL 61606

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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

Matthew Joseph Willis 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 ID2264761428

PECOS Enrollment IDI20190912002991

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 2

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.

17 services12 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services12 patients

Hospital Affiliations CMS Care Compare

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

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)