Individual provider Active NPI

Amy LS Mefford, CNM MS

  • Advanced Practice Midwife
  • Galesburg, IL
National Provider Identifier
1164416012
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
Practice address
834 N Seminary St
Ste 402
Galesburg, IL 61401-2852
Phone
(309) 343-5117
Fax
(309) 343-0029
NPI assigned
Sep 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X IL Primary

Addresses

Primary practice location

834 N Seminary St
Ste 402
Galesburg, IL 61401-2852

Mailing address

834 N Seminary St
Ste 402
Galesburg, IL 61401-2852
Phone (309) 343-5117

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141212001508 IL Practitioner - Certified Nurse Midwife (CNM) 5092037499 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Healthcare System CurrentSince Jan 14, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Osf Healthcare System CurrentSince Jan 14, 2020 Accepting new patients
Osf Multi-Specialty Group CurrentSince Oct 20, 2019 Accepting new patients
Osf Healthcare System Current Accepting new patients
Carle Health Care Incorporated Past Accepting new patients

Locations

3315 N Seminary St
#101
Galesburg, IL 61401
Phone (309) 344-1000

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978

Organizations & group practices 6

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": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1164416012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "STE 402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5117",
            "fax_number": "309-343-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "STE 402",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-343-5117",
            "fax_number": "309-343-0029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEFFORD",
        "first_name": "AMY",
        "middle_name": "LS",
        "credential": "CNM MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.