Individual provider Active NPI

Amy Marie Quertermous, APN-BC

  • Nurse Practitioner
  • Harrisburg, IL
National Provider Identifier
1265943591
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209016743 Issued in IL
Practice address
716 S Commercial St
Harrisburg, IL 62946-2346
Phone
(618) 294-8241
Fax
(618) 294-8212
NPI assigned
Oct 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X 209016743 IL
Family Nurse Practitioner 363LF0000X 209016743 IL
Nurse Practitioner 363L00000X 209016743 IL Primary

Addresses

Primary practice location

716 S Commercial St
Harrisburg, IL 62946-2346

Mailing address

716 S Commercial St
Harrisburg, IL 62946-2346
Phone (618) 294-8264

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
I20171127003339 IL Practitioner - Nurse Practitioner 3779840848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
At Still University, Arizona School of Dentistry & Oral HLTH, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1338 Il Hwy 1
Suite a
Carmi, IL 62821-4902
Phone (618) 380-9321

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.51 of 100Reported as group
Quality
49.04
Promoting interoperability
95
Improvement activities
40
Cost
69.42

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ferrell Hospital Community Foundation Single Specialty Current Accepting new patients
Ferrell Hospital Community Foundation Nurse Practitioner CurrentSince Mar 4, 2024 Accepting new patients
Ferrell Hospital Community Foundation Past Accepting new patients

Locations

1338 IL Highway 1
Ste A
Carmi, IL 62821
Phone (618) 380-9321

1300 US Highway 45 N
Eldorado, IL 62930
Phone (618) 273-9305

1201 Pine St
Eldorado, IL 62930
Phone (618) 273-3361

1306 Maple St
Eldorado, IL 62930
Phone (618) 273-2360

716 S Commercial St
Harrisburg, IL 62946
Phone (618) 273-3361

250 Small St
Harrisburg, IL 62946
Phone (618) 252-4000

30 Veterans Dr
Harrisburg, IL 62946
Phone (618) 252-1410

Interoperability endpoints

  • Direct secure messaging: aquerter@yourcarecommunity.org
  • Direct secure messaging: aquertermous305378@direct.deaconess.com

Organizations & group practices 3

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.

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": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1265943591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 S COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462346",
            "telephone_number": "618-294-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 S COMMERCIAL ST",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629462346",
            "telephone_number": "618-294-8241",
            "fax_number": "618-294-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERTERMOUS",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "APN-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "209016743",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016743",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, IL

Sources for this page

Verify at the official NPI Registry.