Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215592183 Individual Practitioner Female Practitioner

Amy Anderson

Nurse Practitioner • Peoria, IL

Professional Overview & Biography Verified Profile Summary

Amy Anderson is a registered healthcare professional specializing in Nurse Practitioner in Peoria, IL. Practice services are available at 7717 N ORANGE PRAIRIE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7717 N Orange Prairie Rd

Peoria, IL 616159323

Telephone 3095896800
Associated Practice Facility / Clinic
🏢 Danville Vamc Facility NPI 1336197284

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Peoria, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.1 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
182 Specialists

Practicing in Peoria, IL (4929 Statewide)

Telehealth Adoption Rate
29.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-01-03
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IL 277001779

(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.

Secondary Practice Locations

799 N Henderson St

Galesburg, IL 614012515

Phone: 3093154817

Practice Associates & Co-Workers

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

35 Associated Practitioners
Shannon Dolan

Social Worker - Clinical

NPI 1003556135
Jenna Quartier , MSW, LCSW

Social Worker - Clinical

NPI 1093180036

Master of Social Work, Licensed Clinical Social Worker

Elizabeth Osborne

Technician - Attendant Care Provider

NPI 1114575602
NPI 1124744230

Licensed Social Worker

Sydney Smith

Social Worker - Clinical

NPI 1134680234
Cynthia Swigart , CFNP

Nurse Practitioner - Family

NPI 1164465449

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 03, 2024

Registered at 7717 N ORANGE PRAIRIE RD, PEORIA, IL 616159323 (Tel: 3095896800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2024

Nurse Practitioner (License #277001779 in IL)

📍
Updated Practice Location June 29, 2021

Registered at 22 PARKWOOD CIR, DAHINDA, IL 614289517 (Tel: 3095093752)

📍
Updated Business Mailing Address June 29, 2021

Registered at 22 PARKWOOD CIR, DAHINDA, IL 614289517 (Tel: 3095093752)

👤
Provider Name / Credentials Updated June 29, 2021

Recorded as AMY ANDERSON

NPI Profile Active May 07, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 07, 2019

Registered at 4424 US HIGHWAY 34, KEWANEE, IL 614438319 (Tel: 3098520197)

📍
Updated Business Mailing Address May 07, 2019

Registered at 4424 US HIGHWAY 34, KEWANEE, IL 614438319 (Tel: 3098520197)

👤
Provider Name / Credentials Updated May 07, 2019

Recorded as AMY BRONAUGH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2019

Nurse Practitioner (License #209019212 in IL)

🟢
Initial NPI Registration & Enumeration May 07, 2019

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: 1215592183
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 07, 2019
Last Update: January 03, 2024
Sole Proprietor: No

Mailing Address

22 Parkwood Cir

Dahinda, IL 614289517

Phone: 3095093752

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.