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Active NPI 1932858008 Individual Practitioner Male Practitioner

Scott Wilson

Nurse Practitioner • Peoria, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Scott Wilson is a certified Nurse Practitioner practicing in Peoria, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Scott Wilson delivers high-quality medical care to the local community at 900 MAIN ST STE 600.

Scott Wilson maintains professional affiliations with Carle Health Care Incorporated, Methodist Medical Center Of Illinois and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

900 Main St Ste 600

Peoria, IL 616025025

Telephone 3096724670

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.1 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
62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (5 Years) 5 Yrs
Peoria Specialty Average (10.1 Years) 10.1 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
80 79 $195.00 $79.98
99213 Established patient office or other outpatient visit, typically 15 minutes
25 25 $164.00 $53.65

Medical Specialties & State Licenses

CMS Verified: 2022-03-23
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209024687

(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

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Phone: 8887122753

Methodist Medical Center Of Illinois

112 Necrescent Ave, Peoria, IL 616061901

Phone: 3096724670

Carle Health Care Incorporated

611 W Park St, Urbana, IL 618012501

Carle Health Care Incorporated

900 Main St, Peoria, IL 616021060

Practice Associates & Co-Workers

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

23 Associated Practitioners
Courtney Jaegle , PA

Physician Assistant

NPI 1013196682

Physician Assistant

Debra Myers , FNP-C

Nurse Practitioner - Family

NPI 1023103314

Family Nurse Practitioner (Certified)

Dr. Lionel Malebranche , MD

Internal Medicine - Cardiovascular Disease

NPI 1033390521

Doctor of Medicine (M.D.)

Nicholas Warnecke , PA-C

Physician Assistant

NPI 1053563643

Physician Assistant (Certified)

Cheryl Herrmann

Clinical Nurse Specialist

NPI 1063936573
Dr. Ramyashree Tummala , MD

Internal Medicine - Cardiovascular Disease

NPI 1134502263

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 23, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2022

Registered at 900 MAIN ST STE 600, PEORIA, IL 616025025 (Tel: 3096724670)

📍
Updated Business Mailing Address March 23, 2022

Registered at 900 MAIN ST STE 600, PEORIA, IL 616025025

👤
Provider Name / Credentials Updated March 23, 2022

Recorded as SCOTT WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2022

Nurse Practitioner (License #209024687 in IL)

🟢
Initial NPI Registration & Enumeration March 23, 2022

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: 1932858008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2022
Last Update: March 23, 2022
Sole Proprietor: No

Mailing Address

900 Main St Ste 600

Peoria, IL 616025025

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.