Provider Profile

Jacqueline Wudtke

Unclaimed Profile

About Jacqueline Wudtke

Jacqueline Wudtke is a nurse practitioner based in Peoria, IL. Jacqueline is also listed as specializing in nurse practitioner — acute care. The provider's National Provider Identifier (NPI) is 1780535872.

Factual summary compiled by Guide.md from public records; not written by this provider.

Education & Training

School Other Graduated: 2025

Specialty

Nurse Practitioner (Primary)

Credentials & Licensing

IL licenceAs reported to the NPI registry
No. 209033941As reported
NPINational Provider Identifier
1780535872Issued 2026

As reported to the NPI registry ↗

Medicare information

Accepts Medicare assignmentSometimes (reported per claim)
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What does Jacqueline Wudtke specialize in?

Jacqueline Wudtke is a nurse practitioner in Peoria, IL. That is the designation recorded for this NPI in the federal registry.

NPI registry

Where is Jacqueline Wudtke located?

Jacqueline Wudtke is listed at 530 Ne Glen Oak Ave, Peoria, IL 61637. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

What is Jacqueline Wudtke's phone number?

The number on file is (309) 655-2000. Contact the office directly to confirm availability and scheduling.

NPI registry

What is Jacqueline Wudtke's NPI number?

Jacqueline Wudtke's National Provider Identifier is 1780535872. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Jacqueline Wudtke train?

Jacqueline Wudtke attended Other, graduating in 2025. This comes from the CMS National Downloadable File.

CMS public data

How long has Jacqueline Wudtke been practicing?

Jacqueline Wudtke has 1 year experience. Calculated from a graduation year of 2025, reported in the CMS National Downloadable File.

CMS public data

Has Jacqueline Wudtke confirmed this information?

Not yet. This profile is built from public federal data and has not been confirmed by Jacqueline Wudtke. If this is you, claiming it is free.

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