Active NPI
Amanda Jean Kriebs
- Psychiatric/Mental Health Nurse Practitioner
- Galena, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 209032041
- Practice address
- 1 Medical Center Dr
Galena, IL 61036-8118 - Phone
- (815) 777-1340
- Fax
- (815) 776-7274
- NPI assigned
- Jan 18, 2019
- Last updated
- Apr 3, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209032041 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 209032041 | IL | Primary |
| Registered Nurse | 163W00000X | 041438972 | IL |
Addresses
Primary practice location
1 Medical Center Dr
Galena, IL 61036-8118
Mailing address
1021 N Mulford Rd
Rockford, IL 61107-3877
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | midwestmedical@midwestmedicalcenter.cernerdirect.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Ctr Dr
Galena, IL 61036
1 Medical Ctr Dr
Galena, IL 61036-8118
Phone (815) 777-1340
10902 Dogleg RDG
Galena, IL 61036-8206
Phone (815) 776-7265
15 Wedgewood Dr
Galena, IL 61036-8677
Phone (815) 776-7265
412 /2 S Main St
Suite 202
Galena, IL 61036-2231
Phone (815) 777-1340
6756 Stephanie CT
Galena, IL 61036-8801
Phone (815) 776-7265
7300 W College Dr
Suite 101
Palos Heights, IL 60463-1181
Phone (708) 448-8470
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041438972 | IL | MD | Registered Nurse |
| 209032041 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Medical Center | Current | Accepting new patients | |
| Midwest Medical Center | Current | Accepting new patients | |
| Yusuf Salah LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
19550 Governors Hwy
Flossmoor, IL 60422
Phone (708) 799-8400
1 Medical Center Dr
Galena, IL 61036
Phone (815) 776-7381
6321 Dempster St
Morton Grove, IL 60053
8333 W Golf Rd
Niles, IL 60714
Phone (847) 966-9190
7300 W College Dr
Ste 101
Palos Heights, IL 60463
Phone (708) 448-8470
Interoperability endpoints
- midwestmedical@midwestmedicalcenter.cernerdirect.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
-
dba Partners in Hope LLC
- Family Nurse Practitioner
- Palos Heights, IL
- NPI 1982254850
Psychiatric/Mental Health
-
- Rural Health Clinic/Center
- Elizabeth, IL
- NPI 1295286045
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Galena, IL
- NPI 1952409765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1346714755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073877"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"city": "GALENA",
"state": "IL",
"postal_code": "610368118",
"telephone_number": "815-777-1340",
"fax_number": "815-776-7274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRIEBS",
"first_name": "AMANDA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-18",
"last_updated": "2025-04-03",
"certification_date": "2025-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209032041",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "209032041",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "IL",
"license": "041438972",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "midwestmedical@midwestmedicalcenter.cernerdirect.com",
"affiliation": "N",
"endpointDescription": "Midwest Medical Center Direct Email Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCDA",
"address_1": "1 Medical Center Dr",
"city": "Galena",
"state": "IL",
"country_code": "US",
"postal_code": "610368118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Galena, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.