Kerry Detweiler, APN in Peoria, IL - Medicare Nurse Practitioner

Kerry Detweiler, APN is a medicare enrolled "Nurse Practitioner - Family" in Peoria, Illinois. Her current practice location is 3525 N University St, Peoria, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 886-9172.

Kerry Detweiler is licensed to practice in Illinois (license number 277002153) 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 1386158822.

Contact Information

	Kerry Detweiler, APN
	3525 N University St, Peoria, IL 61604-1324
	(309) 886-9172
	(309) 509-4045

Map and Direction

Provider's Profile

Full Name	Kerry Detweiler
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3525 N University St, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386158822
Provider Enumeration Date: 11/20/2017
Last Update Date: 08/13/2025

Medicare PECOS Information:

PECOS PAC ID: 9931461449
Enrollment ID: I20180321002100

Medical Identifiers

Medical identifiers for Kerry Detweiler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386158822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	277002153 (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. Kerry Detweiler allows following entities to bill medicare on her behalf.

Entity Name	Post Acute Physician Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841076031 PECOS PAC ID: 8820442569 Enrollment ID: O20240812003090

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. Kerry Detweiler 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 Address	Practice Location Address
Kerry Detweiler, APN Po Box 9727, Peoria, IL 61612-9727 Ph: (309) 886-9172	Kerry Detweiler, APN 3525 N University St, Peoria, IL 61604-1324 Ph: (309) 886-9172

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

Kerry Detweiler, APN - Medicare Nurse Practitioner in Peoria, IL