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NIKKI BOSWELL
NPI 1982572186
Nurse Practitioner - Family in Peoria, IL

Active since October 28, 2025PECOS Enrolled
4501 N STERLING AVE STE 104, PEORIA, IL 61615(309) 306-1029(309) 291-0932 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikki Boswell NPPES

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

NIKKI BOSWELL (NPI 1982572186) is an individual family provider in Peoria, Illinois, licensed in Illinois (029033658) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Methodist Medical Center Of Illinois, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1982572186
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNIKKI BOSWELL
Location Address4501 N STERLING AVE STE 104Peoria, IL 61615-3865
Mailing Address1580 School StWashington, IL 61571-9510 · (309) 306-1039 · Fax (309) 291-0932
Phone(309) 306-1029
Fax(309) 291-0932
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1982572186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 029033658
4501 N STERLING AVE STE 104, Peoria, IL 61615
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nikki Boswell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214413640
PECOS Enrollment IDI20260115001219
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

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

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 61615 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

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

MR. TOUFIC S. KHAIRALLAH APRN, FNP-BC
Nurse Practitioner
4501 N STERLING AVE STE 104
PEORIA, IL 61615
Peoria County (309) 306-1039

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 Nikki Boswell's NPI number?

The NPI number for Nikki Boswell is 1982572186. It was assigned to this individual provider in the NPPES registry on October 28, 2025.

Where is Nikki Boswell located?

Nikki Boswell practices at 4501 N Sterling Ave Ste 104, Peoria, IL 61615. The listed phone number is (309) 306-1029.

What is Nikki Boswell's specialty?

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

Is Nikki Boswell enrolled in Medicare?

Yes. Nikki Boswell is registered in the Medicare PECOS enrollment system.

Is Nikki Boswell affiliated with any hospitals?

According to CMS data, Nikki Boswell is affiliated with Methodist Medical Center Of Illinois.

When was this NPI record last updated?

The NPPES record for Nikki Boswell was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.