Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780326454 Individual Practitioner Female Practitioner

Amanda June Basham , FNP-BC

Nurse Practitioner • Granite City, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Basham, FNP-BC is a certified Nurse Practitioner practicing in Granite City, IL. With approximately 5 years of clinical experience since completing medical education in 2021, Amanda Basham delivers high-quality medical care to the local community at 3986 MARYVILLE RD.

Amanda Basham is affiliated with Multi-Care Specialists Sc and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

3986 Maryville Rd

Granite City, IL 620404191

Telephone 6187970618
Associated Practice Facility / Clinic
🏢 Multi-Care Specialists Sc Facility NPI 1811087604

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Granite City, IL

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs +0.7 yrs vs City Avg
City Avg: 4.3 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
6 Specialists

Practicing in Granite City, IL (4929 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Basham (5 Years) 5 Yrs
Granite City Specialty Average (4.3 Years) 4.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2022-04-11
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 209025025

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Npi
1811087604

Hospital & Practice Group Affiliations

Multi-Care Specialists Sc

3986 Maryville Rd, Granite City, IL 620404191

Phone: 6187970618

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
NPI 1134447519

Doctor of Chiropractic

Dr. David Priebe , MD

Family Medicine - Sports Medicine

NPI 1194769166

Doctor of Medicine (M.D.)

NPI 1285053504

Doctor of Chiropractic

NPI 1578078838

Doctor of Chiropractic

NPI 1629037536

Doctor of Chiropractic

Corey Voss , PT

Physical Therapist

NPI 1720043029

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 12, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 12, 2022

Registered at 3986 MARYVILLE RD, GRANITE CITY, IL 620404191 (Tel: 6187970618)

📍
Updated Business Mailing Address April 12, 2022

Registered at 3986 MARYVILLE RD, GRANITE CITY, IL 620404191 (Tel: 6187970618)

👤
Provider Name / Credentials Updated April 12, 2022

Recorded as AMANDA BASHAM, FNP -BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2022

Nurse Practitioner (License #209025025 in IL)

🟢
Initial NPI Registration & Enumeration April 12, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780326454
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2022
Last Update: April 12, 2022
Sole Proprietor: No

Mailing Address

3986 Maryville Rd

Granite City, IL 620404191

Phone: 6187970618

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.