Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477811792 Individual Practitioner Female Practitioner

Phillis A Dewitt , APN

Nurse Practitioner • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Phillis Dewitt, APN is a registered healthcare professional specializing in Nurse Practitioner in Peoria, IL. Practice services are available at 530 NE GLEN OAK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Telephone 3096248818
Fax 3096248820
Associated Practice Facility / Clinic
🏢 University Of Illinois Facility NPI 1255301909

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
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

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209-008776

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ryan Parnham , NP-C

Nurse Practitioner - Family

NPI 1003015447

Nurse Practitioner (Certified)

Dr. Adeel Jamil , MD

Internal Medicine

NPI 1033502554

Doctor of Medicine (M.D.)

NPI 1033840392

Doctor of Osteopathic Medicine (D.O.)

Dr. Charles Lagoski , DO

Family Medicine - Geriatric Medicine

NPI 1164479424

Doctor of Osteopathic Medicine (D.O.)

Bhuvaneswari Subramanian

Internal Medicine

NPI 1174712673
Jessica Mitchell , APRN, CNP

Nurse Practitioner - Acute Care

NPI 1174739205

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2012

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096248818)

📍
Updated Business Mailing Address April 24, 2012

Registered at 530 NE GLEN OAK AVE, PEORIA, IL 616370001 (Tel: 3096248818)

👤
Provider Name / Credentials Updated April 24, 2012

Recorded as PHILLIS DEWITT, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2012

Nurse Practitioner (License #209-008776 in IL)

🟢
Initial NPI Registration & Enumeration April 24, 2012

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: 1477811792
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2012
Last Update: April 24, 2012
Sole Proprietor: No

Mailing Address

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096248818

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.