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DANETTE A WILKINSON ANP
NPI 1962169938
Nurse Practitioner - Gerontology in Peoria, IL

Active since November 24, 2021PECOS EnrolledAccepts Medicare Assignment
420 NE GLEN OAK AVE STE 401, PEORIA, IL 61603(309) 676-8123(309) 676-8455 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 22, 2026, Apr 5, 2022, Nov 24, 2021 (3 updates tracked since 2021).

About Danette A Wilkinson Anp NPPES

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

DANETTE A WILKINSON ANP (NPI 1962169938) is an individual gerontology provider in Peoria, Illinois, licensed in Illinois (209024409) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS, is affiliated with Graham Hospital Association, and maintains a secondary practice location in Canton.

NPPES Registry Identity

NPI1962169938
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameDANETTE A WILKINSONCredential: ANP
Location Address420 NE GLEN OAK AVE STE 401Peoria, IL 61603-3112
Mailing Address420 Ne Glen Oak Ave Ste 401Peoria, IL 61603-3112 · (309) 676-8123 · Fax (309) 676-8455
Phone(309) 676-8123
Fax(309) 676-8455
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 24, 2021
Last NPPES UpdateJuly 22, 20263 updates tracked since enumeration
NPPES CertifiedJuly 22, 2026
✔ NPI 1962169938 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 · 209024409
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 209024409 (IL)
420 NE GLEN OAK AVE STE 401, Peoria, IL 61603
Open in Google Maps ↗

Secondary Practice Location 1

Location 1180 S Main Ste, Ste 2iCanton, IL 61520 · Phone (309) 676-8123 · Fax (309) 676-8455

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Danette A Wilkinson Anp 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 ID9830583160
PECOS Enrollment IDI20221110002381
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.

Hospital Affiliations CMS Care Compare 2

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

Graham Hospital Association

Acute Care Hospitals · Canton, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140001
Location210 West Walnut StreetCanton, IL 61520 · Fulton 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

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 20

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

COURTNEY HARLEY ANP
Nurse Practitioner
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
KUMARPAL SHRISHRIMAL MD
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
DR. IAN ZACHARY LEWIS D.O.
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
ALEXANDER J. ALONSO M.D.
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
GORDON W JAMES MD
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
ROBERT T SPARROW MD
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
TIMOTHY A PFLEDERER MD
Internal Medicine (Nephrology)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123
MS. TIARA J MULLEN APRN
Nurse Practitioner (Family)
420 NE GLEN OAK AVE STE 401
PEORIA, IL 61603
Peoria County (309) 676-8123

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 Danette Wilkinson's NPI number?

The NPI number for Danette Wilkinson is 1962169938. It was assigned to this individual provider in the NPPES registry on November 24, 2021.

Where is Danette Wilkinson located?

Danette Wilkinson practices at 420 NE Glen Oak Ave Ste 401, Peoria, IL 61603. The listed phone number is (309) 676-8123.

What is Danette Wilkinson's specialty?

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

Is Danette Wilkinson enrolled in Medicare?

Yes. Danette Wilkinson 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.

What insurance does Danette Wilkinson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Oscar Insurance Company list Danette Wilkinson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Danette Wilkinson affiliated with any hospitals?

According to CMS data, Danette Wilkinson is affiliated with Graham Hospital Association and Saint Francis Medical Center.

When was this NPI record last updated?

The NPPES record for Danette Wilkinson was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.