Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Holly R Walker , PA

Physician Assistant โ€ข Peoria, IL

Active NPI 1497887004 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

420 Ne Glen Oak Ave Ste 401
Peoria, IL 616033168

Call 3096768123 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

420 Ne Glen Oak Ave Ste 401

Peoria, IL 616033168

Telephone 3096768123
Fax 3096768455
Organization at the Same NPPES Address or Phone
Renalcare Associates, S.c. Facility NPI 1649300377

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Peoria, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Renalcare Associates, S.C.. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2001

Medicare patients

225 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $36,526 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $24,494 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

5,597 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$29,626 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

25 years (graduated 2001)

CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Holly Walker has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Holly Walker as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Peoria and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: 294. Middle half: 81 to 843.

More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.

Medicare-allowed amount

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: $20,694. Middle half: $8,428 to $36,280.

A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.

Paid by Medicare

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Peoria, IL (2024, 48 clinicians with data). Median for this group: $14,513. Middle half: $6,333 to $25,291.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.

Medicare Part D prescriptions

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Peoria, IL (2024, 53 clinicians with data). Median for this group: 293. Middle half: 148 to 886.

More Part D prescriptions than 90% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Peoria, IL (2024, 53 clinicians with data). Median for this group: $12,297. Middle half: $1,391 to $69,208.

A higher Part D drug cost than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.

95 active clinicians are listed under Physician Assistant with a practice address in Peoria, IL (4,929 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Peoria

10.5% of these 95 clinicians have the CMS telehealth indicator.

64.2% of these 95 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
340 223 $152.95 $100.70
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
170 142 $31.80 $13.46

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Amlodipine Besylate Amlodipine Besylate 479 33,470 $2,048.60 140
Hydralazine Hcl Hydralazine Hcl 231 14,168 $3,512.11 65
Lisinopril Lisinopril 228 16,409 $1,217.50 68
Spironolactone Spironolactone 228 15,409 $1,553.53 65
Losartan Potassium Losartan Potassium 198 14,540 $1,515.58 62
Olmesartan Medoxomil Olmesartan Medoxomil 158 10,775 $2,257.35 52
Labetalol Hcl Labetalol Hcl 131 7,760 $4,442.73 35
Metoprolol Succinate Metoprolol Succinate 116 8,340 $1,439.66 41
Carvedilol Carvedilol 114 7,709 $676.74 34
Chlorthalidone Chlorthalidone 84 6,359 $1,075.54 36
Furosemide Furosemide 68 3,548 $213.94 25
Isosorbide Mononitrate Er Isosorbide Mononitrate 45 3,282 $354.45 15
Nifedipine Er Nifedipine 44 3,031 $939.98 16
Irbesartan Irbesartan 43 3,150 $1,004.68 13
Minoxidil Minoxidil 39 2,266 $997.42 13
Metoprolol Tartrate Metoprolol Tartrate 36 2,040 $151.18 12
Potassium Chloride Potassium Chloride 31 1,673 $1,354.26 13
Torsemide Torsemide 30 1,895 $344.72 โ€”
Valsartan Valsartan 29 1,571 $361.27 โ€”
Nebivolol Hcl Nebivolol Hcl 28 2,130 $1,529.29 โ€”
Hydrochlorothiazide Hydrochlorothiazide 24 1,800 $40.22 โ€”
Amlodipine Besylate-Benazepril Amlodipine Besylate/Benazepril 18 1,580 $264.27 โ€”
Tamsulosin Hcl Tamsulosin Hcl 17 1,350 $271.56 โ€”
Verapamil Er Verapamil Hcl 15 690 $1,001.69 โ€”
Isosorbide Dinitrate Isosorbide Dinitrate 15 870 $875.47 โ€”

(top 25 shown)

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES IL 085001719

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

License # reported to NPPES IL 085001719

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

License # reported to NPPES IL 085001719
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0850017179 (IL)
Other Identifier Railroad Medicare
P00300733 (IL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20050909000487

Enrollment State Jurisdiction

IL

PECOS Control ID

8527090620

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Renalcare Associates, S.c.

420 Ne Glen Oak Ave, Peoria, IL 616033168

Renalcare Associates, S.c.

530 Ne Glen Oak Ave, Peoria, IL 616370001

Phone: 3096552000

Renalcare Associates, S.c.

1050 E Norris Dr, Ottawa, IL 613501611

Phone: 8154310785

Secondary Practice Locations

530 Ne Glen Oak Ave

Peoria, IL 616370001

Phone: 3096556769

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
NPI 1942846316

Doctor of Medicine (M.D.)

Amanda Allen , APN

Nurse Practitioner

NPI 1669140976

Advanced Practice Nurse

Dr. Alexander Alonso , MD

Internal Medicine - Nephrology

NPI 1124152707

Doctor of Medicine (M.D.)

Dr. Robert Bruha , MD

Internal Medicine - Nephrology

NPI 1043340367

Doctor of Medicine (M.D.)

Chandra Kanth Chaturvedula

Internal Medicine - Nephrology

NPI 1215311683
Dr. Sudha Cherukuri , MD

Internal Medicine - Nephrology

NPI 1629126222

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2026

Internal Medicine (license number reported to NPPES: IL 085001719)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2026

Physician Assistant (license number reported to NPPES: IL 085001719)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 16, 2025

Physician Assistant (license number reported to NPPES: IL 085001719)

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2018

Physician Assistant (license number reported to NPPES: IL 085001719)

โœ…
NPI Profile Active January 23, 2018

NPI status registered as active in NPPES database

๐Ÿ“
Updated Practice Location January 23, 2018

Registered at 420 NE GLEN OAK AVE STE 401, PEORIA, IL 616033168 (Tel: 3096768123)

๐Ÿ“
Updated Business Mailing Address January 23, 2018

Registered at 420 NE GLEN OAK AVE STE 401, PEORIA, IL 616033168 (Tel: 3096768123)

๐Ÿ‘ค
Provider Name / Credentials Updated January 23, 2018

Recorded as HOLLY WALKER, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2018

Physician Assistant (license number reported to NPPES: IL 085001719)

โœ…
NPI Profile Active December 11, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) December 11, 2008

Registered at 200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 616033089 (Tel: 3096768123)

๐Ÿ“
Business Mailing Address (Initial Record) December 11, 2008

Registered at 200 E PENNSYLVANIA AVE, SUITE 212, PEORIA, IL 616033089 (Tel: 3096768123)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) December 11, 2008

Recorded as HOLLY WALKER, PA

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2008

Physician Assistant (license number reported to NPPES: IL 085001719)

๐ŸŸข
Initial NPI Registration & Enumeration March 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497887004
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 09, 2007
Last Update: July 01, 2026
Sole Proprietor: No

Other Physician Assistants in Peoria

All Physician Assistants in Peoria

Mailing Address

420 Ne Glen Oak Ave Ste 401

Peoria, IL 616033168

Phone: 3096768123

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.