Jill Anne Pruvost, M.S., CCC-A
NPI 1366456527ActiveIndividual· Audiologist· Peoria, IL
Audiologist (M.S., CCC-A) with Peoria Ear Nose and Throat Group SC, practicing in Peoria, Illinois. Medicare paid $6,439 for services to 189 patients in 2024.
Overview
| NPI | 1366456527 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.S., CCC-A |
| Sole proprietor | No |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Sep 17, 2026 |
| Certified by provider | Sep 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Audiologist Primary | 231H00000X | 147.001201 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Qualified Audiologist (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 375 across 5 procedure codes |
| Paid by Medicare | $6,439 |
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Qualified Audiologist |
Medical group
- Peoria Ear Nose and Throat Group SCPeoria, IL · 17 clinicians
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