KERRI JEAN SCHAFER (APN) – Family Nurse Practitioner, NPI 1417401985

KERRI JEAN SCHAFER (APN) is a healthcare provider. based in Peoria, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209-014593 (IL). The NPI Number for KERRI JEAN SCHAFER (APN) is 1417401985

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KERRI JEAN SCHAFER (APN)
NPI
1417401985
Phone
(309) 672-5522
Address
221 NE Glen Oak Ave
Enumeration Date
12 August 2016
Last Update Date
30 November 2019

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3096835050
Graduation Year
2016 (10 years ago)
PAC ID
7012203847
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20160902002072
Address ID
IL616157829PE8600X91XX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for KERRI JEAN SCHAFER (APN)

  • 221 NE Glen Oak Ave

    Peoria, IL 616360001

    Phone: (309) 672-5522

    Type: Location

  • Box, Sequoyah County, Oklahoma, United States

    OKLAHOMA CITY, OK 731960347

    Phone: (309) 672-5522

    Type: Mailing

  • Spinder Drive, Fond du Lac, East Peoria, Tazewell County, Illinois, 61634, United States

    EAST PEORIA, IL 616110016

    Phone: (309) 308-5100

    Fax: (309) 308-5102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2016-09-02

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
I20160902002072INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes4646$0
81002Urinalysis, manual test1111$0
View full utilization report →

Insurance plans in this area (ZIP 61636)

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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: 3678889789View full group profile

Reviews

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Frequently asked questions

How do I look up KERRI JEAN SCHAFER (APN) by NPI?
Use NPI 1417401985 when you need to reference KERRI JEAN SCHAFER (APN) in forms, claims, or directories.
Is KERRI JEAN SCHAFER (APN)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize KERRI JEAN SCHAFER (APN)'s specialty in plain language?
Clinically, the directory lists KERRI JEAN SCHAFER (APN) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is KERRI JEAN SCHAFER (APN)'s primary listing?
We display Peoria, Illinois because that is what the record indicates for KERRI JEAN SCHAFER (APN).
How can I contact KERRI JEAN SCHAFER (APN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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