Individual provider Active NPI

Amy Kristine Darwin, FNP-C

  • Family Nurse Practitioner
  • Geneseo, IL
National Provider Identifier
1194493957
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A165183 Issued in IA
Practice address
600 N College Ave
Geneseo, IL 61254-1091
Phone
(309) 944-6431
NPI assigned
Sep 5, 2021
Last updated
Oct 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A165183 IA Primary
Registered Nurse 163W00000X 134329 IA
Registered Nurse 163W00000X 041419166 IL

Addresses

Primary practice location

600 N College Ave
Geneseo, IL 61254-1091

Mailing address

623 2ND St W
Andalusia, IL 61232-9223
Phone (309) 373-3891

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
I20211208000986 IL Practitioner - Nurse Practitioner 7618367574 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
134329IAMDRegistered Nurse
041419166ILMDRegistered Nurse
A165183IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hammond Henry Dist Hospital CurrentSince Dec 1, 2021 Accepting new patients

Locations

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

1258 W South St
Ste 2
Kewanee, IL 61443
Phone (309) 853-3667

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634774400000",
    "number": "1194493957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 2ND ST W",
            "city": "ANDALUSIA",
            "state": "IL",
            "postal_code": "612329223",
            "telephone_number": "309-373-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541091",
            "telephone_number": "309-944-6431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARWIN",
        "first_name": "AMY",
        "middle_name": "KRISTINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A165183",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "134329",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041419166",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneseo, IL

Sources for this page

Verify at the official NPI Registry.