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AMY ANDERSON
NPI 1215592183
Nurse Practitioner in Peoria, IL

Active since May 07, 2019PECOS Enrolled
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615(309) 589-6800 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 3, 2024, Jun 29, 2021, May 7, 2019 (3 updates tracked since 2019).

About Amy Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY ANDERSON (NPI 1215592183) is an individual nurse practitioner in Peoria, Illinois, licensed in Illinois (277001779) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Galesburg.

NPPES Registry Identity

NPI1215592183
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMY ANDERSON
Location Address7717 N ORANGE PRAIRIE RDPeoria, IL 61615-9323
Mailing Address22 Parkwood CirDahinda, IL 61428-9517 · (309) 509-3752
Phone(309) 589-6800
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateJanuary 3, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1215592183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 277001779
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
7717 N ORANGE PRAIRIE RD, Peoria, IL 61615
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Secondary Practice Location 1

Location 1799 N Henderson StGalesburg, IL 61401-2515 · Phone (309) 315-4817

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy Anderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GINGER RENEE HUGHES GARNER LCSW, CADC
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 267-2289
SHANNON DOLAN
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
ERIC DUNIGAN
Social Worker
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 684-4650
JENNA QUARTIER MSW, LCSW
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
BRITTANY SERRANO LSW
Social Worker
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
DANVILLE VAMC
Clinic/Center (VA)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (608) 821-7200
SYDNEY JACQUELYN SMITH
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
MRS. CYNTHIA L.M. SWIGART CFNP
Nurse Practitioner (Family)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Anderson's NPI number?

The NPI number for Amy Anderson is 1215592183. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Amy Anderson located?

Amy Anderson practices at 7717 N Orange Prairie Rd, Peoria, IL 61615. The listed phone number is (309) 589-6800.

What is Amy Anderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amy Anderson enrolled in Medicare?

Yes. Amy Anderson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Anderson was last updated on January 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.