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Active NPI 1417776170 Individual Practitioner Female Practitioner

Shannan Hedge

Nurse Practitioner • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Shannan Hedge is a certified Nurse Practitioner practicing in Peoria, IL. With approximately 2 years of clinical experience since completing medical education in 2024, Shannan Hedge delivers high-quality medical care to the local community at 530 NE GLEN OAK AVE.

Shannan Hedge is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096552000
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

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 in Peoria, IL

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -8.1 yrs vs City Avg
City Avg: 10.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate
29.1% 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. Hedge (2 Years) 2 Yrs
Peoria Specialty Average (10.1 Years) 10.1 Yrs

Medical Specialties & State Licenses

CMS Verified: 2024-10-09
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209.030719

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

200 E Pennsylvania Ave, Peoria, IL 616033089

Phone: 3096244000

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Deepak Nair , MD

Psychiatry & Neurology - Neurology

NPI 1003019209

Doctor of Medicine (M.D.)

NPI 1003556580

Doctor of Medicine (M.D.)

Dr. Thomas Blackwell , MD

Student in an Organized Health Care Education/Training Program

NPI 1003666421

Doctor of Medicine (M.D.)

Jacob Clark

Physician Assistant - Medical

NPI 1013614304
NPI 1013647965

Doctor of Osteopathic Medicine (D.O.)

Mark Morris , NP

Nurse Practitioner - Acute Care

NPI 1023237476

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 09, 2024

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096552000)

📍
Updated Business Mailing Address October 09, 2024

Registered at 621 E LOCUST ST, GENESEO, IL 612541727

👤
Provider Name / Credentials Updated October 09, 2024

Recorded as SHANNAN HEDGE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2024

Nurse Practitioner (License #209.030719 in IL)

🟢
Initial NPI Registration & Enumeration October 08, 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: 1417776170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: October 09, 2024
Sole Proprietor: No

Mailing Address

621 E Locust St

Geneseo, IL 612541727

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.