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Active NPI 1588480685 Individual Practitioner Male Practitioner

Kyle Ryan Faris , ACNPC-AG

Nurse Practitioner - Gerontology • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Kyle Faris, ACNPC-AG is a certified Nurse Practitioner - Gerontology practicing in Peoria, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Kyle Faris delivers high-quality medical care to the local community at 1001 MAIN ST STE 200.

Kyle Faris is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

1001 Main St Ste 200

Peoria, IL 616062035

Telephone 3096725682
Fax 3096723147
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Gerontology in Peoria, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -3.5 yrs vs City Avg
City Avg: 5.5 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
26 Specialists

Practicing in Peoria, IL (294 Statewide)

Telehealth Adoption Rate
3.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Faris (2 Years) 2 Yrs
Peoria Specialty Average (5.5 Years) 5.5 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-07-12
Nurse Practitioner - Gerontology Primary Specialty

NUCC Taxonomy Code: 363LG0600X

State License IL 209032698

Definition to come...

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

1001 Main St, Peoria, IL 616062035

Phone: 3096725682

Secondary Practice Locations

747 Broadway

Seattle, WA 981224307

Phone: 2062153407

Practice Associates & Co-Workers

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

15 Associated Practitioners
Dr. Jeremiah Crabb , MD

Internal Medicine - Critical Care Medicine

NPI 1073509824

Doctor of Medicine (M.D.)

Dr. Kaninika Verma , MD

Internal Medicine - Pulmonary Disease

NPI 1265503429

Doctor of Medicine (M.D.)

Dr. Philip Mead , MD

Internal Medicine - Pulmonary Disease

NPI 1275028300

Doctor of Medicine (M.D.)

Dr. Ossama Ikladios , MD

Internal Medicine - Pulmonary Disease

NPI 1316991193

Doctor of Medicine (M.D.)

Dr. Patrick Whitten , MD

Internal Medicine - Pulmonary Disease

NPI 1366438087

Doctor of Medicine (M.D.)

Dr. W Sauder , MD

Internal Medicine - Pulmonary Disease

NPI 1649260076

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 12, 2025

Registered at 1001 MAIN ST STE 200, PEORIA, IL 616062035 (Tel: 3096725682)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2025

Nurse Practitioner (License #209032698 in IL)

NPI Profile Active November 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location November 23, 2024

Registered at 747 BROADWAY, SEATTLE, WA 981224307 (Tel: 2062153407)

📍
Updated Business Mailing Address November 23, 2024

Registered at 10210 NE 189TH ST UNIT A, BOTHELL, WA 980113836 (Tel: 7602178584)

👤
Provider Name / Credentials Updated November 23, 2024

Recorded as KYLE FARIS, ACNPC-AG

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration November 23, 2024

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: 1588480685
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2024
Last Update: July 12, 2025
Sole Proprietor: Yes

Mailing Address

10210 Ne 189th St Unit A

Bothell, WA 980113836

Phone: 7602178584

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.