Individual provider Active NPI

Amanda Brown-Bartlett

  • Family Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1235665076
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.015940 Issued in IL
Practice address
11538 Century Cir
Plainfield, IL 60585-7101
Phone
(815) 719-0286
NPI assigned
May 11, 2017
Last updated
Jan 5, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 277001931 IL
Family Nurse Practitioner 363LF0000X 209.015940 IL Primary

Addresses

Primary practice location

11538 Century Cir
Plainfield, IL 60585-7101

Mailing address

11538 Century Cir
Plainfield, IL 60585-7101

Other identifiers 1

IdentifierTypeStateIssuer
277001931OtherILSTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL chicago.midwestgeriatrics@yahoo.com

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
I20190307000771 IL Practitioner - Nurse Practitioner 4587903646 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elder Care Physicians LLCGroup PAC ID 6204201254, 6 clinicians

Practice addresses (Care Compare)

1 S072 Luther Ave
Lombard, IL 60148-4164
Phone (872) 888-2444

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
100
Improvement activities
40
Cost
66.67

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209.015940ILMDFamily Nurse Practitioner
277001931ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elder Care Physicians LLC CurrentSince Jul 1, 2023 Accepting new patients
Apn Care Consultants LLC Family CurrentSince Jul 2, 2025 Accepting new patients
Midwest Wound Care Physicians LLC PastSince Sep 29, 2024 Accepting new patients

Locations

1S072 Luther Ave
Lombard, IL 60148
Phone (630) 247-8877

Organizations & group practices 4

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 1

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": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1235665076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11538 CENTURY CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11538 CENTURY CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605857101",
            "telephone_number": "815-719-0286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BARTLETT",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277001931",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.015940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "277001931",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "chicago.midwestgeriatrics@yahoo.com",
            "affiliation": "N",
            "address_1": "11538 Century Cir",
            "city": "Plainfield",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605857101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.