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DR. AMBER M. ALTIDOR DNP, APRN, PMHNP-BC
NPI 1407528987
Nurse Practitioner - Psychiatric/Mental Health in Springfield, IL

Active since October 02, 2021PECOS EnrolledAccepts Medicare Assignment
2501 CHATHAM RD, STE 4134, SPRINGFIELD, IL 62704(773) 716-3478(618) 822-4030 Get Directions Write a Review

NPPES record last updated: December 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Oct 16, 2021, Oct 2, 2021 (3 updates tracked since 2021).

About Dr. Amber M. Altidor Dnp, Aprn, Pmhnp-bc NPPES

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

DR. AMBER M. ALTIDOR DNP, APRN, PMHNP-BC (NPI 1407528987) is an individual psychiatric/mental health provider in Springfield, Illinois, licensed in Illinois (209024124) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1407528987
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDR. AMBER M. ALTIDORCredential: DNP, APRN, PMHNP-BC
Location Address2501 CHATHAM RD, STE 4134Springfield, IL 62704-6270
Mailing Address2501 Chatham Road, Suite 4134Springfield, IL 62704-5746 · (773) 716-3478 · Fax (618) 822-4030
Phone(773) 716-3478
Fax(618) 822-4030
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 2, 2021
Last NPPES UpdateDecember 15, 20233 updates tracked since enumeration
NPPES CertifiedDecember 15, 2023
✔ NPI 1407528987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209024124
2501 CHATHAM RD, Springfield, IL 62704
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Amber M. Altidor Dnp, Aprn, Pmhnp-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 ID9739571522
PECOS Enrollment IDI20230821003181
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.

Hospital Affiliations CMS Care Compare

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

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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 11

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

WELL-AMERICA CORPORATION
Psychologist (Clinical)
2501 CHATHAM RD
SPRINGFIELD, IL 62704
Sangamon County (302) 526-4547
MAKAYLA MARIE BAIRD RD, LD
Dietitian, Registered
2501 CHATHAM RD, STE R
SPRINGFIELD, IL 62704
Sangamon County (512) 309-1650
CAWONDA RANEE WILSON PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2501 CHATHAM RD
SPRINGFIELD, IL 62704
Sangamon County (253) 922-4027
MRS. LINDA L. MCCALL CNP
Nurse Practitioner (Family)
2501 CHATHAM RD, STE 300
SPRINGFIELD, IL 62704
Sangamon County (217) 787-8870
MELANIE MARIA PAVLOVIC RD
Dietitian, Registered
2501 CHATHAM RD
SPRINGFIELD, IL 62704
Sangamon County (217) 787-8870
COMPASS BEHAVIOR
Case Manager/Care Coordinator
2501 CHATHAM RD, STE R
SPRINGFIELD, IL 62704
Sangamon County (773) 514-4466
CIARA JOHNSON
Social Worker
2501 CHATHAM RD
SPRINGFIELD, IL 62704
Sangamon County (312) 625-0078
ELIZABETH DEITEMYER
Social Worker (Clinical)
2501 CHATHAM RD
SPRINGFIELD, IL 62704
Sangamon County (312) 529-0679

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 Altidor's NPI number?

The NPI number for Amber Altidor is 1407528987. It was assigned to this individual provider in the NPPES registry on October 2, 2021.

Where is Amber Altidor located?

Amber Altidor practices at 2501 Chatham Rd Ste 4134, Springfield, IL 62704. The listed phone number is (773) 716-3478.

What is Amber Altidor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Amber Altidor enrolled in Medicare?

Yes. Amber Altidor 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.

What insurance does Amber Altidor accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Amber Altidor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Amber Altidor affiliated with any hospitals?

According to CMS data, Amber Altidor is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Amber Altidor was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.