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

Mrs. Megan Marie San Jose, APN, NP-C

Individual provider Family Nurse Practitioner · NPI 1558641662

Mrs. Megan Marie San Jose, APN, NP-C is a Nurse Practitioner in Peoria, Illinois. Graduated from Indiana University School of Medicine in 2011, 15 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
15
Trained at
Indiana University School of Medicine
Licensed in
IL
In the registry since
2011
What do these letters mean?
APN — Advanced Practice Nurse
The umbrella title some states use for nurse practitioners and other advanced practice nurses.
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone: (309) 683-5600
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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 209.008992 (IL)

Record details

NPI number1558641662
Entity typeIndividual (Type 1)
GenderFemale
Credentials APN , NP-C
Sole proprietorNo
NPI enumeratedAugust 19, 2011
Last updated in NPPESApril 29, 2026
Certification dateApril 29, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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