Individual provider Active NPI

Amy Arellanes, APRN, CNP

  • Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1306452735
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209020613 Issued in IL
Practice address
3351 W Main St
St Charles, IL 60175-1004
Phone
(800) 323-8622
NPI assigned
Sep 21, 2020
Last updated
Feb 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209020613 IL Primary
Family Nurse Practitioner 363LF0000X 209.020613 IL

Addresses

Primary practice location

3351 W Main St
St Charles, IL 60175-1004

Mailing address

29373 Network PL
Chicago, IL 60673-1992
Phone (847) 390-5900

Other practice location 1

414 Division Dr
Sugar Grove, IL 60554-5109
Phone (630) 315-1000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aarellanes212667@direct.myadvocateaurora.org
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

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
I20220208001663 IL Practitioner - Nurse Practitioner 3971996307 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as apm
Quality
72.1
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
56.32 of 100Reported as group
Quality
30.08
Promoting interoperability
100
Improvement activities
0
Cost
74.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209020613ILMDNurse Practitioner
209.020613ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rochelle Community Hospital Association CurrentSince Mar 10, 2023 Accepting new patients
Rochelle Community Hospital Association Nurse Practitioner Current Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Rochelle Community Hospital Association CurrentSince Mar 10, 2023 Accepting new patients
Osf Multi-Specialty Group CurrentSince Aug 30, 2024 Accepting new patients
Geneva Family Practice Associates, S.C. PastSince Sep 1, 2020 Accepting new patients
Planned Parenthood of Illinois Past Accepting new patients

Locations

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

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

900 N 2nd St
Rochelle, IL 61068
Phone (815) 562-2181

900 N 2nd St
Ste 200
Rochelle, IL 61068
Phone (815) 562-2181

Organizations & group practices 7

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": "1600646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676937600000",
    "number": "1306452735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29373 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731992",
            "telephone_number": "847-390-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3351 W MAIN ST",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751004",
            "telephone_number": "800-323-8622"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "414 Division Dr",
            "address_purpose": "LOCATION",
            "city": "Sugar Grove",
            "state": "IL",
            "postal_code": "605545109",
            "country_code": "US",
            "telephone_number": "630-315-1000",
            "fax_number": "630-315-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARELLANES",
        "first_name": "AMY",
        "credential": "APRN, CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-21",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209020613",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.020613",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aarellanes212667@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "3351 W Main St",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601751004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "3351 W Main St",
            "city": "St Charles",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601751004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.