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Active NPI 1073015319 Individual Practitioner Female Practitioner

Sara Kristine Smith , AGACNP

Nurse Practitioner - Acute Care • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Sara Smith, AGACNP is a certified Nurse Practitioner - Acute Care practicing in Peoria, IL. With approximately 9 years of clinical experience since completing medical education in 2017, Sara Smith delivers high-quality medical care to the local community at 515 NE GLEN OAK AVE STE 202.

Sara Smith is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with straightforward or low-level medical decision making, if using time, at least, coronary artery bypass using artery graft, 1 graft, initial hospital care with moderate level of medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 Ne Glen Oak Ave Ste 202

Peoria, IL 61603

Telephone 3096244455

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Acute Care in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -0.4 yrs vs City Avg
City Avg: 9.4 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
44 Specialists

Practicing in Peoria, IL (644 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (9 Years) 9 Yrs
Peoria Specialty Average (9.4 Years) 9.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
18 18 $371.00 $107.80
33533 Coronary artery bypass using artery graft, 1 graft
14 14 $2714.00 $244.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
13 13 $493.00 $142.48

Medical Specialties & State Licenses

CMS Verified: 2022-12-06
Nurse Practitioner - Acute Care Primary Specialty

NUCC Taxonomy Code: 363LA2100X

State License IL 209017253

Definition to come...

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

515 Neglen Oak Ave, Peoria, IL 61603

Phone: 3096742002

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Dawn Richards , APN

Nurse Practitioner - Acute Care

NPI 1033953476

Advanced Practice Nurse

James Mangerson , PA-C

Physician Assistant

NPI 1093078446

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated December 06, 2022

Recorded as SARA SMITH, AGACNP

📍
Updated Practice Location June 12, 2018

Registered at 515 NE GLEN OAK AVE STE 202, PEORIA, IL 61603 (Tel: 3096244455)

👤
Provider Name / Credentials Updated June 12, 2018

Recorded as SARA ROSENBERY, AGACNP

NPI Profile Active March 02, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2018

Registered at 515 NE GLEN OAK AVE STE 202, PEORIA, IL 616033166 (Tel: 3096244455)

📍
Updated Business Mailing Address March 02, 2018

Registered at 120 W JEFFERSON ST APT 35, MORTON, IL 615501849 (Tel: 2179729753)

👤
Provider Name / Credentials Updated March 02, 2018

Recorded as SARA WALKER, AGACNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2018

Nurse Practitioner (License #209017253 in IL)

🟢
Initial NPI Registration & Enumeration March 02, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1073015319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2018
Last Update: December 06, 2022
Sole Proprietor: No

Mailing Address

120 W Jefferson St Apt 35

Morton, IL 615501849

Phone: 2179729753

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.