NPPES file of Aug 9, 2026

Kyle Ryan Faris, ACNPC-AG

Gerontology Nurse Practitioner · Peoria, IL

Kyle Ryan Faris, ACNPC-AG is a gerontology nurse practitioner with a practice address in Peoria, Illinois, and NPI 1588480685, issued on Nov 23, 2024. Check the license (Illinois 209032698, as entered in NPPES) with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1588480685
Name
Kyle Ryan Faris
Credential
ACNPC-AG
Primary taxonomy
Gerontology Nurse Practitioner 363LG0600X
License number
209032698 IL
Self-reported in NPPES; status is on the state search
Practice location
1001 Main St Ste 200, Peoria, IL 61606
Phone
(309) 672-5682
Enumerated
Nov 23, 2024
Record last updated
Jul 12, 2025
Fax
(309) 672-3147
Medicare enrollment
Enrolled (PECOS I20250718002091); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest gerontology nurse practitioner records → All 292 in Illinois → Look up another NPI →

Also registered at 1001 Main St Ste 200

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Emily CoronaGerontology Nurse Practitioner1972242188
  2. Justyna Koscielniak, APRN, CNPGerontology Nurse Practitioner1902571235
  3. Katelynn Madden, APRN, CNSGerontology Clinical Nurse Specialist1720694094
  4. Alaina TaylorNurse Practitioner1851881908
  5. Wyatt Verplaetse, MDAllergy & Immunology Physician1629508965
  6. Matthew Willis, APNNurse Practitioner1942857545

Verify Kyle Ryan Faris in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 209032698    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Osf Multi-Specialty GroupPeoria, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kyle Ryan Faris among 292 gerontology nurse practitioner records in Illinois

Kyle Ryan Faris, ACNPC-AG is one of 292 gerontology nurse practitioner records with a practice address in Illinois. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2024, is newer than 82% of them.

  • NPI issued2024 · 82% of these records are older, 12% newer
  • In a Medicare fileYes · 80% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2024 · median 2019 among the 201 with a school on file
  • Record last updated2025 · 34% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LG0600X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Gerontology Nurse Practitioner providers in Illinois

There are 292 gerontology nurse practitioner records in Illinois.

All 292 in Illinois → Every provider in Peoria → Gerontology Nurse Practitioner nationwide →

The 8 gerontology nurse practitioner records with the nearest ZIP codes

  1. Emily CoronaPeoria, IL 616061972242188
  2. Madison Dunham, APRNPeoria, IL 616061568244994
  3. Justyna Koscielniak, APRN, CNPPeoria, IL 616061902571235
  4. Aaron Owens, NPPeoria, IL 616061265070494
  5. Mary KeenanPeoria, IL 616031124988944
  6. Heather Larson, AGACNP-BCPeoria, IL 616031114724317
  7. Ashley Pribble, DNPPeoria, IL 616031851016745
  8. Danette Wilkinson, ANPPeoria, IL 616031962169938

Common questions

What is Kyle Ryan Faris, ACNPC-AG's NPI number?

Kyle Ryan Faris, ACNPC-AG's National Provider Identifier (NPI) is 1588480685, issued on Nov 23, 2024. An NPI identifies a provider in billing; it is not a license.

Where is Kyle Ryan Faris, ACNPC-AG located?

The NPPES record lists a practice address at 1001 Main St Ste 200, Peoria, IL, 61606. Phone: (309) 672-5682. Providers update this record themselves, so call before visiting.

How can I verify Kyle Ryan Faris, ACNPC-AG's license?

NPPES lists Illinois license number 209032698, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.