Individual provider Active NPI

Amelia Victoria Devera Sales, FNP-C

  • Nurse Practitioner
  • Rock Island, IL
National Provider Identifier
1033062013
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209034727 Issued in IL
Practice address
2508 25TH St
Rock Island, IL 61201-5419
Phone
(309) 786-0600
Fax
(309) 786-8352
NPI assigned
Feb 18, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 209034727 IL Primary

Addresses

Primary practice location

2508 25TH St
Rock Island, IL 61201-5419

Mailing address

2508 25TH St
Rock Island, IL 61201-5419

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260501003408 IL Practitioner - Nurse Practitioner 7113495797 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2508 25TH St
Suite E
Rock Island, IL 61201-5419

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209034727ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
James a M Sales MD SC Single Specialty CurrentSince Apr 1, 2026 Accepting new patients

Locations

2508 25th St
Ste E
Rock Island, IL 61201
Phone (309) 786-0600

2508 25th St
Rock Island, IL 61201
Phone (309) 757-9220

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1033062013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2508 25TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2508 25TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015419",
            "telephone_number": "309-786-0600",
            "fax_number": "309-786-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVERA SALES",
        "first_name": "AMELIA",
        "middle_name": "VICTORIA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209034727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.