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

Bethany Walls

Individual provider Family Nurse Practitioner · NPI 1063052231

Bethany Walls is a Nurse Practitioner in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Metro Infectious Disease Consultants LLC, a 391-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
7
Licensed in
TN
In the registry since
2020
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Practice location Address checks out

1200 W Loucks Ave
Peoria, IL 61604-2604
Phone: (309) 306-7421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 789 Old Nashville Hwy, Mc Ewen, TN 37101-4578 — (309) 370-2564

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APN0000026872 (TN)

Record details

NPI number1063052231
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 15, 2020
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025
Mailing address901 McClintock Dr Ste 202, Burr Ridge, IL 60527-0872

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Metro Infectious Disease Consultants Llc — 391 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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