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

Stephanie Perez

Individual provider Surgical Physician Assistant · NPI 1255067823

Stephanie Perez is a Physician Assistant in Peoria, Illinois. Qualified in 2023, 3 years ago. Practices with Bay Area Hospital District, a 124-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

6000 N Allen Rd
Peoria, IL 61614-3294
Phone: (309) 691-1400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085010279 (IL)

Record details

NPI number1255067823
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 26, 2022
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address6000 N Allen Rd, Peoria, IL 61614-3294

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 Bay Area Hospital District — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Peoria