Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony M Driscoll

Individual provider Acute Care Nurse Practitioner · NPI 1063091825

Anthony M Driscoll is a Nurse Practitioner in Peoria, Illinois. Qualified in 2021, 5 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 657-5186
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209023127 (IL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 041436954 (IL)

Record details

NPI number1063091825
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 7, 2021
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026
Mailing address1219 E Elmhurst Ave, Peoria, IL 61603-1527

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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