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

Michelle Sue Dehne

Individual provider Nurse Practitioner · NPI 1962994707

Michelle Sue Dehne is a Nurse Practitioner in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Renalcare Associates, SC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone: (309) 676-8123
Fax: (309) 676-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1762 Washington Rd, Washington, IL 61571 — (309) 676-8123

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209017740 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209017740 (IL)

Record details

NPI number1962994707
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Renalcare Associates, S.C. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Peoria