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AMANDA L LAVALLEE APRN, CNP
NPI 1720148091
Nurse Practitioner - Neonatal in Peoria, IL

Active since December 09, 2006PECOS Enrolled
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2000 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 9, 2025, Feb 4, 2025, Jan 7, 2025 and 1 more (4 updates tracked since 2016).

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 and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720148091
Entity TypeIndividualFemale
Primary Taxonomy363LN0000X
Provider Legal NameAMANDA L LAVALLEECredential: APRN, CNP
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address530 Ne Glen Oak AvePeoria, IL 61637-0001 · (309) 655-2000
Phone(309) 655-2000
Sole ProprietorNo
Enumeration DateDecember 9, 2006
Last NPPES UpdateSeptember 9, 20254 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1720148091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0000X
Licenses✔ Licensed in IL · 209032798✔ Licensed in ID · 2471949
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License NP124639 (TX)

Secondary Practice Locations 2

Location 11055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 302-4600 · Fax (208) 302-4655
Location 23917 West RdLos Alamos, NM 87544-2275 · Phone (505) 661-9228

Other Identifiers 1

Medicaid626130284BGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda L Lavallee Aprn, Cnp 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Amanda Lavallee reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Los Alamos Physician Practices LLC
Family Medicine
3917 WEST RD
Los Alamos, NM 87544
  • Reassigned Medicare billing, New Mexico enrollment
  • 42 clinicians in this Medicare group
NPI 1750330510 (505) 662-4201
Osf Multi-Specialty Group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 clinicians in this Medicare group
NPI 1154908929 (309) 683-5050
Saint Alphonsus Regional Medical Center Inc
Psychologist
1055 N CURTIS RD
Boise, ID 83706
  • Reassigned Medicare billing, Idaho enrollment
  • 781 clinicians in this Medicare group
NPI 1649357716 (208) 367-4148
St. Alexius Medical Center
Critical Access
220 5TH AVE W
Turtle Lake, ND 58575
  • Reassigned Medicare billing, North Dakota enrollment
  • 616 clinicians in this Medicare group
NPI 1013961820 (701) 448-2331
University Hospitals Medical Group Inc
Multi-Specialty
11100 EUCLID AVE
Cleveland, OH 44106
  • Reassigned Medicare billing, Ohio enrollment
  • 3,958 clinicians in this Medicare group
NPI 1669499414 (216) 844-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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 20

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

DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109
ABIGAIL V. WELU DO
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-6710
DR. JAMES DANIEL DEWAR D.O.
Internal Medicine (Interventional Cardiology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-7257

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 enrollment system.

Which organizations bill Medicare for Amanda Lavallee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Lavallee reassigns Medicare benefits to 5 organizations: Los Alamos Physician Practices LLC (Los Alamos, NM), Osf Multi-Specialty Group (Peoria, IL), Saint Alphonsus Regional Medical Center Inc (Boise, ID), St. Alexius Medical Center (Turtle Lake, ND) and University Hospitals Medical Group Inc (Cleveland, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Lavallee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Lavallee accept?

Health plans from Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Texas 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 13 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.