Individual provider Active NPI

Amanda Erdmann, FNP-BC

  • Family Nurse Practitioner
  • Orland Park, IL
National Provider Identifier
1043846041
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209020136 Issued in IL
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

Updated by the provider on Dec 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PLLC 106 clinicians
Minuteclinic Primary Care Illinois PLLC 102 clinicians

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)

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Illinois PLLC Family CurrentSince Jan 12, 2022 Accepting new patients
Minuteclinic Primary Care Illinois PLLC Family CurrentSince Apr 15, 2025 Accepting new patients
Together Women'S Health Medical Group of Illinois, PLLC PastSince Jun 24, 2023 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.

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

Verify at the official NPI Registry.