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

Tracey Samantha Peachey, FNP

Individual provider Nurse Practitioner · NPI 1124872924

Tracey Samantha Peachey, FNP is a Nurse Practitioner in Kankakee, Illinois. Qualified in 2024, 2 years ago. Practices with Riverside Health System, a 205-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

401 N Wall St Ste 102
Kankakee, IL 60901-2934
Phone: (815) 928-5090
Fax: (815) 928-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209030161 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041353756 (IL)

Record details

NPI number1124872924
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedApril 16, 2024
Last updated in NPPESAugust 9, 2024
Certification dateAugust 9, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Riverside Health System — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Kankakee