Active NPI
Amanda Erdmann, FNP-BC
- Family Nurse Practitioner
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209020136
- Practice address
- 14290 S la Grange Rd
Orland Park, IL 60462-2023 - Phone
- (708) 403-2356
- NPI assigned
- Mar 21, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209020136 | IL | Primary |
Addresses
Primary practice location
14290 S la Grange Rd
Orland Park, IL 60462-2023
Mailing address
14290 S la Grange Rd
Orland Park, IL 60462-2023
Phone (708) 403-2356
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220215002350 | IL | Practitioner - Nurse Practitioner | 5890188858 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Minuteclinic Diagnostic of Illinois PLLCMinuteclinic Primary Care Illinois PLLC
Practice addresses (Care Compare)
11200 Lincoln Hwy
Mokena, IL 60448-8208
Phone (866) 389-2727
11201 W 143Rd St
Orland Park, IL 60467-1923
Phone (866) 389-2727
14290 S la Grange Rd
Orland Park, IL 60462-2023
Phone (866) 389-2727
2045 Plum Grove Rd
Rolling Meadows, IL 60008-1992
Phone (866) 389-2727
9551 171St St
Tinley Park, IL 60487-6109
Phone (866) 389-2727
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Illinois PLLC | Family | Current | Accepting new patients |
| Minuteclinic Primary Care Illinois PLLC | Family | Current | Accepting new patients |
| Together Women'S Health Medical Group of Illinois, PLLC | Past | Accepting new patients |
Locations
1130 S Veterans Pkwy
Bloomington, IL 61704
Phone (309) 661-1839
11200 Lincoln Hwy
Mokena, IL 60448
Phone 8154642171 ext. 8221
2050 Nelson Rd
New Lenox, IL 60451
Phone (815) 463-5281
936 Willow Rd
Northbrook, IL 60062
Phone (847) 239-8447
14290 S La Grange Rd
Orland Park, IL 60462
Phone (708) 299-1352
11201 W 143rd St
Orland Park, IL 60467
Phone (708) 364-1466
2045 Plum Grove Rd
Rolling Meadows, IL 60008
Phone (847) 303-2450
9551 171st St
Tinley Park, IL 60487
Phone (708) 873-0062
6748 W 111th St
Worth, IL 60482
Phone (708) 361-9701
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1356485809
Family, IL
-
- Family Nurse Practitioner
- Mokena, IL
- NPI 1528875564
Family, IL
-
- Specialist
- Chicago, IL
- NPI 1912161100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1043846041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14290 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622023",
"telephone_number": "708-403-2356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14290 S LA GRANGE RD",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622023",
"telephone_number": "708-403-2356"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMANN",
"first_name": "AMANDA",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-21",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209020136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.