Amanda Christine Miklavcic, DNP PNP-AC - Medicare Nurse Practitioner in Peoria, IL

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Amanda Christine Miklavcic, DNP PNP-AC is a medicare enrolled "Nurse Practitioner - Pediatrics" in Peoria, Illinois. Her current practice location is 530 Ne Glen Oak Ave, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 624-2277.

Amanda Christine Miklavcic is licensed to practice in Illinois (license number 209026119) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1689212177.

Contact Information

Amanda Christine Miklavcic, DNP PNP-AC
530 Ne Glen Oak Ave,
Peoria, IL 61637-3026
(309) 624-2277
Not Available

Map and Direction




Provider's Profile

Full NameAmanda Christine Miklavcic
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location530 Ne Glen Oak Ave, Peoria, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689212177
  • Provider Enumeration Date: 12/15/2019
  • Last Update Date: 01/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7719303817
  • Enrollment ID: I20230426001795

Medical Identifiers

Medical identifiers for Amanda Christine Miklavcic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689212177NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner APRN.CNP.026647 (Ohio)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
363LP0200XNurse Practitioner - Pediatrics 209026119 (Illinois)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Christine Miklavcic allows following entities to bill medicare on her behalf.
Entity NameThe Board Of Trustees Of The University Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386863819
PECOS PAC ID: 3072422716
Enrollment ID: O20031112000158

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Christine Miklavcic is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amanda Christine Miklavcic, DNP PNP-AC
1 Illini Dr,
Peoria, IL 61605-2576

Ph: (309) 671-3447		Amanda Christine Miklavcic, DNP PNP-AC
530 Ne Glen Oak Ave,
Peoria, IL 61637-3026

Ph: (309) 624-2277

Reviews and Comments


Nurse Practitioner Nurses in Peoria, IL

Mr. Ryan Eugene Parnham, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 530 Ne Glen Oak Ave, Suite 108, Peoria, IL 61537
Phone: 309-624-8818    
Faye Yetton, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2015 W Austin Dr, Peoria, IL 61614
Phone: 309-256-0632    
Linda Schmidgall,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 420 Ne Glen Oak Ave, Suite 200, Peoria, IL 61603
Phone: 309-624-5100    Fax: 309-624-5569
Sandra L. Peach, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 420 Ne Glen Oak Ave, Peoria, IL 61603
Phone: 309-655-2343    Fax: 309-655-3948
Roxanne Mclaughlin, APN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 8940 N Wood Sage Rd, Peoria, IL 61615
Phone: 309-243-3000    Fax: 309-243-3274
Suzanne D Tietjen, BSN, NNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637
Phone: 309-655-2974    
Brittany N Hemmele, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 8600 N State Route 91, Peoria, IL 61615
Phone: 309-683-5050    Fax: 309-683-5335

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.