AMANDA L LAVALLEE APRN, CNP
NPI 1720148091
Nurse Practitioner - Neonatal in Peoria, IL
About Amanda L Lavallee Aprn, Cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA L LAVALLEE APRN, CNP (NPI 1720148091) is an individual neonatal provider in Peoria, Illinois, licensed in Illinois (209032798) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
Accepted 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
Amanda L Lavallee Aprn, Cnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
PEORIA, IL 61637
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 Lavallee's NPI number?
The NPI number for Amanda Lavallee is 1720148091. It was assigned to this individual provider in the NPPES registry on December 9, 2006.
Where is Amanda Lavallee located?
Amanda Lavallee practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.
What is Amanda Lavallee's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
Is Amanda Lavallee enrolled in Medicare?
Yes. Amanda Lavallee 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 Amanda Lavallee accept?
Health plans from Blue Cross and Blue Shield of Texas, Medica and Sanford Health Plan list Amanda Lavallee 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.
When was this NPI record last updated?
The NPPES record for Amanda Lavallee was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Amanda L Lavallee, APRN, CNP · NPI 1720148091
Neonatal physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since December 9, 2006.
## Identity
- **NPI:** 1720148091 (Entity type: Individual)
- **Enumerated:** December 9, 2006
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 209032798 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 9, 2025
- **Other identifiers:** Medicaid 626130284B (GA)
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Source: [NPI Profile](https://npiprofile.com/npi/1720148091) · Data from the CMS NPPES public registry.