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

Natalie Patty

Individual provider Physician Assistant · NPI 1013638352

Natalie Patty is a Physician Assistant in Peoria, Illinois. Qualified in 2023, 3 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

5111 N Glen Park Place Rd
Peoria, IL 61614-4675
Phone: (309) 683-5700
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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 385.007538 (IL)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1013638352
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 6, 2022
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023
Mailing address5111 N Glen Park Place Rd, Peoria, IL 61614-4675

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria