AMBER LEE-ANN KOTH FNP-C
NPI 1508388372
Nurse Practitioner - Family in Peoria, IL

Q: What is Amber Koth's NPI number?

The NPI number for Amber Koth is 1508388372. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Q: What is Amber Koth'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 Amber Koth was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 July 12, 2017PECOS Enrolled

221 NE GLEN OAK AVE, PEORIA, IL 61636(309) 672-5500 Get Directions Write a Review

NPPES record last updated: November 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Amber Lee-ann Koth Fnp-c NPPES

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

AMBER LEE-ANN KOTH FNP-C (NPI 1508388372) is an individual family provider in Peoria, Illinois, licensed in Illinois (277001734) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Champaign.

NPPES Registry Identity

NPI1508388372

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMBER LEE-ANN KOTHCredential: FNP-C

Location Address221 NE GLEN OAK AVEPeoria, IL 61636-4416

Mailing Address221 Ne Glen Oak AvePeoria, IL 61636-4416 · (309) 672-5500

Phone(309) 672-5500

Sole ProprietorNo

Enumeration DateJuly 12, 2017

Last NPPES UpdateNovember 29, 2024

NPPES CertifiedNovember 29, 2024

✔ NPI 1508388372 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 · 277001734

221 NE GLEN OAK AVE, Peoria, IL 61636

Open in Google Maps ↗

Secondary Practice Location 1

Location 11915 S Mattis AveChampaign, IL 61821-5919 · Phone (217) 352-0516 · Fax (217) 352-0976

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amber Lee-ann Koth Fnp-c 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.

Areas of Expertise CMS Part B claims 3

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 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.

77 services75 patients

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.

42 services42 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

35 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61636 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$907.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BRYCE HAMAMOTO

Student in an Organized Health Care Education/Training Program

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

RIAZ SHAH MD

Internal Medicine

221 NE GLEN OAK AVE, SUITE 504
PEORIA, IL 61636

Peoria County (309) 672-5729

CENTRAL ILLINOIS RADIATION ONCOLOGY PHYSICIANS, LTD

Radiology (Radiation Oncology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5700

MIHAILO NIKOLIC

Nurse Anesthetist, Certified Registered

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5654

WAQAS ALI MD

Internal Medicine

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

ANNE LOOK APN

Nurse Practitioner (Acute Care)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-5522

DR. KENNETH STRUM M.D.

Anesthesiology

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 369-1761

DR. ANDREW BRIAN ARMSTRONG M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

221 NE GLEN OAK AVE
PEORIA, IL 61636

Peoria County (309) 672-4920

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 Koth's NPI number?

The NPI number for Amber Koth is 1508388372. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Amber Koth located?

Amber Koth practices at 221 NE Glen Oak Ave, Peoria, IL 61636. The listed phone number is (309) 672-5500.

What is Amber Koth's specialty?

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

Is Amber Koth enrolled in Medicare?

Yes. Amber Koth is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amber Koth was last updated on November 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.