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Active NPI 1871164418 Individual Practitioner Female Practitioner

Dr. Grace Elizabeth Wagner , DNP, APRN, CPNP

Nurse Practitioner - Pediatrics • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Dr. Grace Wagner, DNP, APRN, CPNP is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Peoria, IL. Practice services are available at 8600 STATE ROUTE 91 STE 200 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8600 State Route 91 Ste 200

Peoria, IL 616157833

Telephone 3096921030

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
16 Specialists

Practicing in Peoria, IL (694 Statewide)

Telehealth Adoption Rate
6.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-07-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209021274

Definition to come...

Practice Associates & Co-Workers

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

4 Associated Practitioners
NPI 1104027572

Doctor of Medicine (M.D.)

NPI 1184836561
Jeanne Harris

Pediatrics

NPI 1295825586
NPI 1518991066

Career & Practice History Timeline

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

6 Historical Events
✅
NPI Profile Active July 06, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location July 06, 2021

Registered at 8600 STATE ROUTE 91 STE 200, PEORIA, IL 616157833 (Tel: 3096921030)

📍
Updated Business Mailing Address July 06, 2021

Registered at 2223 VETERANS RD UNIT 14, MORTON, IL 615504559 (Tel: 5636765628)

👤
Provider Name / Credentials Updated July 06, 2021

Recorded as GRACE WAGNER, DNP, APRN, CPNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2021

Nurse Practitioner (License #209021274 in IL)

🟢
Initial NPI Registration & Enumeration July 06, 2021

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: 1871164418
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2021
Last Update: July 06, 2021
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

2223 Veterans Rd Unit 14

Morton, IL 615504559

Phone: 5636765628

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.