AMANDA ZUMBAHLEN APN
NPI 1427424936
Nurse Practitioner - Family in Mattoon, IL

Q: What is Amanda Zumbahlen's NPI number?

The NPI number for Amanda Zumbahlen is 1427424936. It was assigned to this individual provider in the NPPES registry on August 19, 2015.

Q: What is Amanda Zumbahlen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Zumbahlen was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since August 19, 2015PECOS EnrolledAccepts Medicare Assignment

94.61/100

CMS Quality Rating

1201 WOODDELL WAY STE B, MATTOON, IL 61938(217) 238-3000(217) 238-3008 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 3, 2025, Mar 4, 2022, Jan 9, 2019 (3 updates tracked since 2019).

On this page

About Amanda Zumbahlen Apn NPPES

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

AMANDA ZUMBAHLEN APN (NPI 1427424936) is an individual family provider in Mattoon, Illinois, licensed in Illinois (209013090) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1427424936

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA ZUMBAHLENCredential: APN

Location Address1201 WOODDELL WAY STE BMattoon, IL 61938-1014

Mailing AddressPo Box 372Mattoon, IL 61938-0372

Phone(217) 238-3000

Fax(217) 238-3008

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateAugust 19, 2015

Last NPPES UpdateDecember 3, 20253 updates tracked since enumeration

NPPES CertifiedDecember 3, 2025

✔ NPI 1427424936 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 · 209013090

1201 WOODDELL WAY STE B, Mattoon, IL 61938

Open in Google Maps ↗

Secondary Practice Locations 3

Location 12040 Lincoln Ave Ste 100Charleston, IL 61920-3197 · Phone (217) 345-2030 · Fax (217) 345-2045

Location 21303 W Evergreen Ave Ste 100Effingham, IL 62401-1638 · Phone (217) 540-6123 · Fax (217) 347-4969

Location 31100 Tuscola BlvdTuscola, IL 61953-2065 · Phone (217) 253-4764 · Fax (217) 253-4886

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

Amanda Zumbahlen Apn 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 ID9032426952

PECOS Enrollment IDI20150909002813

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.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

32 services32 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.61/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.17

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

VINCENT MACINO PA

Physician Assistant