RENAE SPRINGER (APN) – Adult Health Nurse Practitioner, NPI 1225501406

RENAE SPRINGER (APN) is a healthcare provider. based in Peoria, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209017517 (IL). The NPI Number for RENAE SPRINGER (APN) is 1225501406

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
RENAE SPRINGER (APN)
NPI
1225501406
Phone
(399) 497-0300
Address
736 SW WASHINGTON ST
Enumeration Date
9 January 2019
Last Update Date
9 January 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3095895900
Graduation Year
2017 (9 years ago)
PAC ID
5597145144
Group Practice PAC ID
9234179870
Professional Enrollment ID
I20220629001845
Address ID
IL616142017PE7301XAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

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Provider Addresses for RENAE SPRINGER (APN)

  • Thyme Kitchen + Craft Beer, 736, Southwest Washington Street, Peoria, Peoria County, Illinois, 61602, United States

    PEORIA, IL 616021665

    Phone: (399) 497-0300

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 29 Open Payments records for all available years, with a total value of $799.

Total Amount is formed as General ($799) + Research ($0) + Ownership ($0) = $799.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($198).

Total Amount

$799

General + Research + Ownership

Payments

29

Total payment records

General Amount

$799

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-06-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220629001845INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61602)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9234179870View full group profile
NameSpecialtyState
Qualified AudiologistIL
Qualified AudiologistIL
Qualified AudiologistIL
-IL
-IL
Qualified AudiologistIL
O T O L A R Y N G O L O G YIL
-IL
Physical Therapist In Private PracticeIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

How is RENAE SPRINGER (APN) identified in CMS data?
CMS-hosted NPPES data lists RENAE SPRINGER (APN) with NPI 1225501406.
Does CMS list RENAE SPRINGER (APN) as active?
Yes — RENAE SPRINGER (APN) is active in the NPI listing used on this page.
What taxonomy line describes RENAE SPRINGER (APN)?
For research purposes, treat RENAE SPRINGER (APN) as Adult Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Does RENAE SPRINGER (APN) list a practice location?
Patients near Peoria, Illinois may find RENAE SPRINGER (APN) in results; validate coverage separately.
Is the information about RENAE SPRINGER (APN) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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