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

Evan Walder

Individual provider Acute Care Nurse Practitioner · NPI 1891510731

Evan Walder is a Nurse Practitioner in Peoria, Illinois. Qualified in 2024, 2 years ago. Practices with Methodist Medical Center of Illinois, a 393-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
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Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 672-5522
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209031039 (IL)

Record details

NPI number1891510731
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 16, 2024
Last updated in NPPESNovember 16, 2024
Certification dateNovember 16, 2024
Mailing address902 Brookline Dr, Eureka, IL 61530-1600

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Methodist Medical Center Of Illinois — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Peoria