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

Kristi N Ryan, PNP-AC

Individual provider Registered Nurse · NPI 1508181702

Kristi N Ryan, PNP-AC is a Nurse Practitioner in Peoria, Illinois. Graduated from Duke University School of Medicine in 2009, 17 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group and accepts Medicare assignment. Licensed in Illinois and North Carolina.

Years since qualifying
17
Trained at
Duke University School of Medicine
Licensed in
IL, NC
In the registry since
2010
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

420 NE Glen Oak Ave Ste 301
Peoria, IL 61603-3105
Phone: (309) 655-3453
Fax: (309) 655-3410
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209-012284 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 198953 (NC)

Record details

NPI number1508181702
Entity typeIndividual (Type 1)
GenderFemale
Credentials PNP-AC
Sole proprietorNo
NPI enumeratedMarch 30, 2010
Last updated in NPPESApril 30, 2015

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolDUKE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria