Active NPI
Amanda Hemphill, FNP-BC
- Family Nurse Practitioner
- Collinsville, IL
National Provider Identifier
1073973863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 277004095
- 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
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 | 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, MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 22.51 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 75.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 277004095 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-America Psychiatric Consultants, LLC | Current | Accepting new patients | |
| Brighter Minds PLLC | Family | Current | 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.
-
- Family Nurse Practitioner
- Collinsville, IL
- NPI 1912792854
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.