KILEY BUGAIESKI — NPI 1013845122 (Licensed & Credentialed Registered Nurse, General Practice in PEORIA, IL)

CMS-1500 Box 24J / 33a • NPI

1013845122

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

163WG0000X

Licensed & Credentialed Registered Nurse, General Practice

Box 32 Service Location & ZIP+4

530 NE GLEN OAK AVE, PEORIA, IL, 61637-0001

✓ 9-Digit EDI 837 ZIP+4 (61637-0001)

Practice Phone & Referral Fax

(309) 665-2000

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1013845122 (KILEY BUGAIESKI) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1013845122` (NPI-1 Individual Practitioner)
Provider / Legal Name	KILEY BUGAIESKI
Plain-English Specialty	Licensed & Credentialed Registered Nurse, General Practice NUCC Code: `163WG0000X` (Registered Nurse, General Practice)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	530 NE GLEN OAK AVE, PEORIA, IL, 61637-0001
Practice Telephone / Fax	Tel: (309) 665-2000
Administrative Mailing Address	441 S MONTANA AVE, MORTON, IL, 61550-2731
Enumeration & Last Sync	Enumerated: 2026-05-11 \| CMS Record Updated: 2026-05-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

530 NE GLEN OAK AVE, PEORIA, IL, 61637-0001

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Plain-English Taxonomy & CMS Crosswalk (163WG0000X)

What Does Taxonomy Code 163WG0000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 163WG0000X translates to:
"Licensed & Credentialed Registered Nurse, General Practice"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Registered Nurse, General Practice for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KILEY BUGAIESKI)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`163WG0000X` — Registered Nurse, General Practice Plain English: Licensed & Credentialed Registered Nurse, General Practice	State: IL \| License: `041461698` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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KILEY BUGAIESKI (NPI #1013845122)