Medical Service Plan at Peoria – Obstetrics & Gynecology Physician, NPI 1962475996

Medical Service Plan at Peoria is a healthcare provider. based in Peoria, Illinois. specializing in Obstetrics & Gynecology Physician. The NPI Number for Medical Service Plan at Peoria is 1962475996

Main info

Organization
Name
Medical Service Plan at Peoria
NPI
1962475996
Phone
(309) 671-8503
Address
1 ILLINI DR
Authorized Official
WILLIAM R NICHOLAS EXECUTIVE DIRCETOR OF MSP PHD
Enumeration Date
9 February 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Medical Service Plan at Peoria

  • Univerity of Illinois College of Medicine at Peoria, 1, Illini Drive, Peoria, Peoria County, Illinois, 61605, United States

    PEORIA, IL 616052576

    Phone: (309) 671-8503

    Type: Mailing

  • DEPT. OF OB / GYN

    530 NE GLEN OAK

    PEORIA, IL 616370001

    Phone: (309) 655-3024

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 61605)

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Reviews

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Frequently asked questions

How do payers reference Medical Service Plan at Peoria?
For Medical Service Plan at Peoria, use NPI 1962475996 as the unique 10-digit identifier.
Is there an active status for Medical Service Plan at Peoria?
For scheduling context, Medical Service Plan at Peoria is shown as active in the registry.
What expertise is attributed to Medical Service Plan at Peoria?
Medical Service Plan at Peoria's specialty line reads Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Medical Service Plan at Peoria?
Travel planning: use Peoria, Illinois as the reference point for Medical Service Plan at Peoria, then confirm.
When was this NPI issued?
Enumeration for Medical Service Plan at Peoria is noted as February 9, 2006 where the registry provides it.

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Unknown Individual

Obstetrics & Gynecology Physician
DEPT OF OB / GYN
NPI: 1982673943