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

Sara Kristine Smith, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1073015319

Sara Kristine Smith, AGACNP is a Nurse Practitioner in Peoria, Illinois. Qualified in 2017, 9 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment. Licensed in Illinois.

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

515 NE Glen Oak Ave Ste 202
Peoria, IL 61603
Phone: (309) 624-4455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 209017253 (IL)

Record details

NPI number1073015319
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedMarch 2, 2018
Last updated in NPPESDecember 6, 2022
Certification dateDecember 6, 2022

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 Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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