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

Julie Wagner

Individual provider Family Nurse Practitioner · NPI 1033830823

Julie Wagner is a Nurse Practitioner in Peoria, Illinois. Qualified in 2022, 4 years ago. Practices with Proctor Health Systems, a 132-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
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Practice location Address checks out

8914 N Knoxville Ave
Peoria, IL 61615-1410
Phone: (309) 691-9110
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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 209025916 (IL)

Record details

NPI number1033830823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 8, 2022
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1813 Partridge Pt, Normal, IL 61761-5656

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Proctor Health Systems — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Peoria