RENEE NICHOLE RUDER FNP-C
NPI 1972476976
Nurse Practitioner - Family in Peoria, IL
About Renee Nichole Ruder Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEE NICHOLE RUDER FNP-C (NPI 1972476976) is an individual family provider in Peoria, Illinois, licensed in Illinois (209033109) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Renee Nichole Ruder Fnp-c 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 Reassignments
2Medicare enrollment records show Renee Ruder reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Peoria, IL 61637
- Reassigned Medicare billing, Illinois enrollment
- 176 clinicians in this Medicare group
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.
Hospital Affiliations CMS Care Compare 3
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, ILOsf Saint Elizabeth Mdl Ctr
Acute Care Hospitals · Ottawa, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Renee Ruder's NPI number?
The NPI number for Renee Ruder is 1972476976. It was assigned to this individual provider in the NPPES registry on September 25, 2025.
Where is Renee Ruder located?
Renee Ruder practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.
What is Renee Ruder's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Renee Ruder enrolled in Medicare?
Yes. Renee Ruder 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 organizations bill Medicare for Renee Ruder's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Renee Ruder reassigns Medicare benefits to 2 organizations: Central Illinois Radiological Associates, Ltd. (Peoria, IL) and Osf Multi-Specialty Group (Peoria, IL). Each 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 Renee Ruder's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Renee Ruder affiliated with any hospitals?
According to CMS data, Renee Ruder is affiliated with St Mary Medical Center, Saint Francis Medical Center and Osf Saint Elizabeth Mdl Ctr.
When was this NPI record last updated?
The NPPES record for Renee Ruder was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Renee Nichole Ruder, FNP-C · NPI 1972476976
Family physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since September 25, 2025.
## Identity
- **NPI:** 1972476976 (Entity type: Individual)
- **Enumerated:** September 25, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209033109 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2000
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Central Illinois Radiological Associates, Ltd. (NPI 1538192828, Peoria, IL); Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** November 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1972476976) · Data from the CMS NPPES public registry.