Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren M Petoskey, PA-C

Individual provider Physician Assistant · NPI 1285037929

Lauren M Petoskey, PA-C is a Physician Assistant in Peoria, Illinois. Qualified in 2014, 12 years ago. Practices with St Mary Medical Center, a 51-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8600 N State Route 91
Peoria, IL 61615-9541
Phone: (309) 683-5050
Fax: (309) 683-5335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-005301 (IL)

Record details

NPI number1285037929
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESMarch 14, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Mary Medical Center — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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