Individual provider Active NPI

Amber Oberheim, APN

  • Family Nurse Practitioner
  • Monticello, IL
National Provider Identifier
1174684278
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209005301 Issued in IL
Practice address
100 W Washington St Ste 101
Monticello, IL 61856-1713
Phone
(217) 366-5434
Fax
(217) 366-6106
NPI assigned
Dec 12, 2006
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 209005301 IL Primary

Addresses

Primary practice location

100 W Washington St Ste 101
Monticello, IL 61856-1713

Mailing address

101 W University Ave
Champaign, IL 61820-3909
Phone (217) 366-1326

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aoberheimaprn288454@CarleHieDirect.net Direct

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
I20041118000250 IL Practitioner - Nurse Practitioner 5890759997 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

Practice addresses (Care Compare)

1405 W Park St
Urbana, IL 61801-2367
Phone (217) 337-3240

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Osf Multi-Specialty Group CurrentSince Sep 25, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Christie Clinic, PLLC CurrentSince Dec 2, 2013 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Prairie Cardiovascular Consultants LTD Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1801 W Windsor Rd
Champaign, IL 61822
Phone (217) 366-5434

2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

1000 Medical Center Dr
Monticello, IL 61856
Phone (217) 762-1540

777 W Bridge St
Monticello, IL 61856
Phone (217) 337-3500

100 W Washington St
Ste 101
Monticello, IL 61856
Phone (217) 366-5434

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

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

1405 W Park St
Urbana, IL 61801
Phone (217) 337-3240

Interoperability endpoints

  • Direct secure messaging: aoberheimaprn288454@carlehiedirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1174684278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203909",
            "telephone_number": "217-366-1326",
            "fax_number": "217-366-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W WASHINGTON ST STE 101",
            "city": "MONTICELLO",
            "state": "IL",
            "postal_code": "618561713",
            "telephone_number": "217-366-5434",
            "fax_number": "217-366-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERHEIM",
        "first_name": "AMBER",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209005301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aoberheimaprn288454@CarleHieDirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "100 W Washington St Ste 101",
            "city": "Monticello",
            "state": "IL",
            "country_code": "US",
            "postal_code": "618561713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monticello, IL

Sources for this page

Verify at the official NPI Registry.