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

MS. Tiara J Mullen, APRN

Individual provider Family Nurse Practitioner · NPI 1164062196

MS. Tiara J Mullen, APRN is a Nurse Practitioner in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Renalcare Associates, SC, a 48-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2020
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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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.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209020366 (IL)

Record details

NPI number1164062196
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 7, 2020
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 2019 (7 years in practice)
Group practice Renalcare Associates, S.C. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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