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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AMY LYNN PERSCHALL NUSSBAUM MA
NPI 1912836958
Counselor - Professional in Normal, IL

Active since May 15, 2026PECOS Enrolled
1006 N OAK ST, NORMAL, IL 61761(309) 530-5294 Get Directions Write a Review

NPPES record last updated: September 4, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 4, 2026, May 15, 2026 (2 updates tracked since 2026).

About Dr. Amy Lynn Perschall Nussbaum Ma NPPES

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

DR. AMY LYNN PERSCHALL NUSSBAUM MA (NPI 1912836958) is an individual professional provider in Normal, Illinois and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Bloomington.

NPPES Registry Identity

NPI1912836958
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameDR. AMY LYNN PERSCHALL NUSSBAUMCredential: MA
Location Address1006 N OAK STNormal, IL 61761-1736
Mailing Address1006 N Oak StNormal, IL 61761-1736 · (309) 530-5294
Phone(309) 530-5294
Sole ProprietorNo
Enumeration DateMay 15, 2026
Last NPPES UpdateSeptember 4, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2026
✔ NPI 1912836958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
1006 N OAK ST, Normal, IL 61761
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Secondary Practice Location 1

Location 12404 E Empire St Ste 120Bloomington, IL 61704-3630 · Phone (217) 352-0200 · Fax (217) 607-1139

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy Lynn Perschall Nussbaum Ma 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.

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 Amy Nussbaum's NPI number?

The NPI number for Amy Nussbaum is 1912836958. It was assigned to this individual provider in the NPPES registry on May 15, 2026.

Where is Amy Nussbaum located?

Amy Nussbaum practices at 1006 N Oak St, Normal, IL 61761. The listed phone number is (309) 530-5294.

What is Amy Nussbaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Amy Nussbaum enrolled in Medicare?

Yes. Amy Nussbaum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Nussbaum was last updated on September 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 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.