AMBER DAWN WILLIS APN-BC
NPI 1326589680
Nurse Practitioner - Family in Mount Vernon, IL

Active since March 19, 2017PECOS EnrolledAccepts Medicare Assignment
1 GOOD SAMARITAN WAY, MOUNT VERNON, IL 62864(618) 899-4600 Get Directions Write a Review

NPPES record last updated: March 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amber Dawn Willis Apn-bc NPPES

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

AMBER DAWN WILLIS APN-BC (NPI 1326589680) is an individual family provider in Mount Vernon, Illinois, licensed in Illinois (209.015277) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1326589680
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMBER DAWN WILLISCredential: APN-BC
Location Address1 GOOD SAMARITAN WAYMount Vernon, IL 62864-2402
Mailing Address13240 E Smith RdMount Vernon, IL 62864-8857 · (618) 315-9925
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 19, 2017
NPI 1326589680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IL · 209.015277
1 GOOD SAMARITAN WAY, Mount Vernon, IL 62864

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amber Dawn Willis Apn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426325523
PECOS Enrollment IDI20170519002399
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
30 services30 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140032
Location503 N Maple StreetEffingham, IL 62401 · Effingham County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital -Centralia

Acute Care Hospitals · Centralia, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140034
Location400 North Pleasant AvenueCentralia, IL 62801 · Marion County
Emergency services

Good Samaritan Regional Hlth Center

Acute Care Hospitals · Mount Vernon, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140046
Location1 Good Samaritan WayMount Vernon, IL 62864 · Jefferson County
Emergency services Birthing friendly

Crossroads Community Hospital

Acute Care Hospitals · Mount Vernon, IL
OwnershipProprietary
CMS Certification Number140294
Location8 Doctors Park RdMount Vernon, IL 62864 · Jefferson County
Emergency services

Washington County Hospital

Critical Access Hospitals · Nashville, IL
OwnershipGovernment - Hospital District or Authority
CMS Certification Number141308
Location705 S Grand AveNashville, IL 62263 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62864 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.

Internal Medicine (Interventional Cardiology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Internal Medicine
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Rehabilitation Unit
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pathology (Anatomic Pathology & Clinical Pathology)
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Radiology (Body Imaging)
1 GOOD SAMARITAN WAY, ATTN RADIOLOGY DEPT
MOUNT VERNON, IL 62864
Specialist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864
Pharmacist
1 GOOD SAMARITAN WAY
MOUNT VERNON, IL 62864

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 Amber Willis's NPI number?

The NPI number for Amber Willis is 1326589680. It was assigned to this individual provider in the NPPES registry on March 19, 2017.

Where is Amber Willis located?

Amber Willis practices at 1 Good Samaritan Way, Mount Vernon, IL 62864. The listed phone number is (618) 899-4600.

What is Amber Willis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amber Willis enrolled in Medicare?

Yes. Amber Willis is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amber Willis affiliated with any hospitals?

According to CMS data, Amber Willis is affiliated with St Anthonys Memorial Hospital, Ssm Health St Mary's Hospital -Centralia, Good Samaritan Regional Hlth Center, Crossroads Community Hospital and Washington County Hospital.

When was this NPI record last updated?

The NPPES record for Amber Willis was last updated on March 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.