Active NPI
Amber Baer, BSN, RN
- Psychiatric/Mental Health Registered Nurse
- Bloomington, IL
National Provider Identifier
1205701125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 041513765
- Practice address
- 1709 Jumer Dr Ste a
Bloomington, IL 61704-0914 - Phone
- (309) 463-5800
- Fax
- (833) 914-2704
- NPI assigned
- Oct 9, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Registered Nurse | 163WE0003X | 041513765 | IL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 041513765 | IL | Primary |
Addresses
Primary practice location
1709 Jumer Dr Ste a
Bloomington, IL 61704-0914
Mailing address
1709 Jumer Dr Ste a
Bloomington, IL 61704-0914
Phone (309) 463-5800
Other practice location 1
2200 E Washington St
Bloomington, IL 61701-4364
Phone (309) 662-3311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041513765 | IL | MD | Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1205701125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1709 JUMER DR STE A",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040914",
"telephone_number": "309-463-5800",
"fax_number": "833-914-2704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1709 JUMER DR STE A",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617040914",
"telephone_number": "309-463-5800",
"fax_number": "833-914-2704"
}
],
"practiceLocations": [
{
"address_1": "2200 E Washington St",
"address_purpose": "LOCATION",
"city": "Bloomington",
"state": "IL",
"postal_code": "617014364",
"country_code": "US",
"telephone_number": "309-662-3311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAER",
"first_name": "AMBER",
"credential": "BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Emergency",
"state": "IL",
"license": "041513765",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "IL",
"license": "041513765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.