Sandy Northcutt
Sandy Northcutt is a Nurse Practitioner in Peoria, Illinois. Qualified in 2023, 3 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 3
- Licensed in
- IL
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
124 SW Adams StPeoria, IL 61602-1308
Phone: (888) 209-3761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 209.028107 (IL) |
|---|---|
| Medical-Surgical Registered Nurse | Taxonomy 163WM0705X · Licence 041.310284 (IL) |
Record details
| NPI number | 1174209704 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | June 27, 2023 |
| Last updated in NPPES | September 22, 2023 |
| Certification date | September 22, 2023 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Osf Multi-Specialty Group — 2128 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Peoria
-
Chelsey Getz
221 NE Glen Oak Ave, Peoria, IL 61636-0001 · (309) 671-3578