MRS. JEANNA M ROSS (APN) – Nurse Practitioner, NPI 1922061043

MRS. JEANNA M ROSS (APN) is a healthcare provider. based in Peoria, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 209005204 (IL). The NPI Number for MRS. JEANNA M ROSS (APN) is 1922061043

Main info

Female
26 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JEANNA M ROSS (APN)
NPI
1922061043
Phone
(309) 692-0400
Address
5401 N KNOXVILLE AVE STE 207
Enumeration Date
10 April 2006
Last Update Date
2 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096932020
Graduation Year
2000 (26 years ago)
PAC ID
3577585678
Group Practice PAC ID
3577515774
Professional Enrollment ID
I20060103000367
Address ID
IL616157485PE2338XWAYX502
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. JEANNA M ROSS (APN)

  • 5401 N KNOXVILLE AVE STE 207

    PEORIA, IL 616145021

    Phone: (309) 692-0400

    Fax: (309) 692-2804

    Type: Mailing

  • 2338 W VAN WINKLE WAY STE 3300

    PEORIA, IL 616157485

    Phone: (309) 693-2020

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $384.

Total Amount is formed as General ($384) + Research ($0) + Ownership ($0) = $384.

Last reported payment date: 2024-09-07 • Largest payer in this snapshot: Boston Scientific Corporation ($137).

Total Amount

$384

General + Research + Ownership

Payments

5

Total payment records

General Amount

$384

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-07

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2006-01-03

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
I20060103000367INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes16692$0
36415Insertion of needle into vein for collection of blood sample156108$0
99213Established patient office or other outpatient visit, 20-29 minutes13995$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit131131$0
G0008Administration of influenza virus vaccine3636$0
View full utilization report →

Insurance plans in this area (ZIP 61614)

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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: 3577515774View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YIL
Nurse PractitionerIL
Clinical PsychologistIL
-FL
Nurse PractitionerIL
Gastroenterology, Internal MedicineWI
P O D I A T R YIL
Hospitalist, Family PracticeTX
Diagnostic RadiologyNY
-IL

Reviews

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Frequently asked questions

What federal number belongs to MRS. JEANNA M ROSS (APN)?
The federal identifier for MRS. JEANNA M ROSS (APN) is NPI 1922061043.
Does this profile mean MRS. JEANNA M ROSS (APN) is currently active?
Yes — MRS. JEANNA M ROSS (APN) appears active in the national provider directory.
Does MRS. JEANNA M ROSS (APN) list a primary specialty?
If you are matching referrals, note Nurse Practitioner for MRS. JEANNA M ROSS (APN). Clinical services aligned with this taxonomy classification.
Does MRS. JEANNA M ROSS (APN) practice in Illinois?
You will see Peoria, Illinois on file for MRS. JEANNA M ROSS (APN) alongside any extra practice locations.
What if Peoria, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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