Individual provider Active NPI

Amanda Hemphill, FNP-BC

  • Family Nurse Practitioner
  • Collinsville, IL
National Provider Identifier
1073973863
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
277004095 Issued in IL
Practice address
1408 N Bluff Rd
Collinsville, IL 62234-7302
Phone
(618) 610-2788
Fax
(618) 344-9684
NPI assigned
Mar 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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 277004095 IL Primary

Addresses

Primary practice location

1408 N Bluff Rd
Collinsville, IL 62234-7302

Mailing address

1408 N Bluff Rd
Collinsville, IL 62234-7302
Phone (618) 610-2788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160328000155 IL Practitioner - Nurse Practitioner 2466759071 Reassigns benefits to 2 organizations
I20170321002102 MO Practitioner - Nurse Practitioner 2466759071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
75.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277004095ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-America Psychiatric Consultants, LLC CurrentSince Mar 7, 2016 Accepting new patients
Brighter Minds PLLC Family CurrentSince May 2, 2025 Accepting new patients

Locations

2120 Madison Ave
Granite City, IL 62040
Phone (618) 451-0122

2120 Madison Ave
Ste 404
Granite City, IL 62040
Phone (618) 876-7515

522 N New Ballas Rd
Ste 334
Saint Louis, MO 63141
Phone (314) 268-6195

Organizations & group practices 2

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": "1457308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1073973863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 N BLUFF RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347302",
            "telephone_number": "618-610-2788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 N BLUFF RD",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622347302",
            "telephone_number": "618-610-2788",
            "fax_number": "618-344-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMPHILL",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-07",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277004095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Collinsville, IL

Sources for this page

Verify at the official NPI Registry.