1. Home
  2. Directory
  3. Illinois
  4. Quincy
  5. Nurse Practitioner
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA DIETERLE
NPI 1689571911
Nurse Practitioner in Quincy, IL

Active since October 21, 2026
1005 BROADWAY ST, QUINCY, IL 62301(217) 223-1200 Get Directions Write a Review

NPPES record added: October 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Dieterle NPPES

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

AMANDA DIETERLE (NPI 1689571911) is an individual nurse practitioner in Quincy, Illinois, licensed in Illinois (209.036874) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1689571911
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA DIETERLE
Location Address1005 BROADWAY STQuincy, IL 62301-2834
Mailing Address1943 N 1050th AveLiberty, IL 62347-3409
Phone(217) 223-1200
Sole ProprietorNo
Enumeration DateOctober 21, 2026
NPPES CertifiedOctober 21, 2026
✔ NPI 1689571911 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 · 209.036874
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.
1005 BROADWAY ST, Quincy, IL 62301
Open in Google Maps ↗

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.

ANGELA BYERLY
Pharmacist
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
CLARK OLAVI ANDELIN MD
Obstetrics & Gynecology
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
BROOK AUDRA LINENFELSER LCSW
Social Worker (Clinical)
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
DR. STEVE C WANG DO
Emergency Medicine
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
KELLIE ELIZABETH FLIPPIN MD
Internal Medicine (Hematology & Oncology)
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
MR. EVAN PETERS CPHT
Pharmacy Technician
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
GLENDA BROWN NP
Nurse Practitioner
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400
JOSEPH VALENTINE MEYER MD
Anesthesiology
1005 BROADWAY ST
QUINCY, IL 62301
Adams County (217) 223-8400

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 Amanda Dieterle's NPI number?

The NPI number for Amanda Dieterle is 1689571911. It was assigned to this individual provider in the NPPES registry on October 21, 2026.

Where is Amanda Dieterle located?

Amanda Dieterle practices at 1005 Broadway St, Quincy, IL 62301. The listed phone number is (217) 223-1200.

What is Amanda Dieterle's specialty?

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

When was this NPI record last updated?

The NPPES record for Amanda Dieterle was last updated on October 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.