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Active NPI 1902428808 Individual Practitioner Female Practitioner

Alyssa Bene Carroll , PA-C

Physician Assistant • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Alyssa Carroll, PA-C is a registered healthcare professional specializing in Physician Assistant in Peoria, IL. Practice services are available at 1001 MAIN ST STE 500A under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new 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

1001 Main St Ste 500a

Peoria, IL 616062038

Telephone 3096724980
Fax 3096722931
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.1 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
96 Specialists

Practicing in Peoria, IL (4958 Statewide)

Telehealth Adoption Rate
10.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
181 165 $150.00 $74.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
128 110 $212.00 $104.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
77 77 $250.00 $92.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
73 73 $328.00 $138.87

Medical Specialties & State Licenses

CMS Verified: 2022-08-17
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.008561

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

16 Associated Practitioners
Dr. Eliathamby Kuganeswaran , MD

Internal Medicine - Gastroenterology

NPI 1073555488

Doctor of Medicine (M.D.)

Brynn Cinnamon , APN, CNP

Nurse Practitioner

NPI 1154555852

Advanced Practice Nurse, Certified Nurse Practitioner

Amy Durst , APN

Nurse Practitioner - Family

NPI 1174025357

Advanced Practice Nurse

Dr. Michael Treanor , MD

Internal Medicine - Gastroenterology

NPI 1255375200

Doctor of Medicine (M.D.)

Dr. Wasim Ellahi , MD

Internal Medicine - Gastroenterology

NPI 1285678599

Doctor of Medicine (M.D.)

Jennifer Greenwood

Nurse Practitioner - Family

NPI 1316492432

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location August 17, 2022

Registered at 1001 MAIN ST STE 500A, PEORIA, IL 616062038 (Tel: 3096724980)

📍
Updated Business Mailing Address August 17, 2022

Registered at 1001 MAIN ST STE 500A, PEORIA, IL 616062038 (Tel: 3096724980)

👤
Provider Name / Credentials Updated August 26, 2021

Recorded as ALYSSA CARROLL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Physician Assistant (License #085.008561 in IL)

NPI Profile Active May 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location May 13, 2020

Registered at 2727 SHERIDAN RD, PEKIN, IL 615542642 (Tel: 3096429110)

📍
Updated Business Mailing Address May 13, 2020

Registered at 2727 SHERIDAN RD, PEKIN, IL 615542642 (Tel: 3096429110)

👤
Provider Name / Credentials Updated May 13, 2020

Recorded as ALYSSA CARROLL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 13, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 13, 2020

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: 1902428808
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 13, 2020
Last Update: August 17, 2022
Sole Proprietor: No

Mailing Address

1001 Main St Ste 500a

Peoria, IL 616062038

Phone: 3096724980

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.