Individual provider Active NPI

Amanda Kania, NP

  • Family Nurse Practitioner
  • Beckemeyer, IL
National Provider Identifier
1346730561
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209016324 Issued in IL
Practice address
291 E 2ND St
Beckemeyer, IL 62219-4202
Phone
(618) 484-9030
NPI assigned
May 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209016324 IL Primary

Addresses

Primary practice location

291 E 2ND St
Beckemeyer, IL 62219-4202

Mailing address

291 E 2ND St
Beckemeyer, IL 62219-4202
Phone (618) 484-9030

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
I20180625001846 IL Practitioner - Nurse Practitioner 1052666518 Reassigns benefits to 2 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
Gerio Primary Care PCGroup PAC ID 0749640969, 13 clinicians

Practice addresses (Care Compare)

291 E 2ND St
Beckemeyer, IL 62219-4202
Phone (618) 484-9030

Hospital & facility affiliations

  • Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • SSM Health St Mary'S Hospital -Centralia Hospital, Centralia, IL, CCN 140034
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336

Merit-based Incentive Payment System (MIPS)

Final score
70.55 of 100Reported as individual
Quality
50.55
Improvement activities
40
Cost
34.44

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209016324ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Provider Partners Care Management LP Nurse Practitioner CurrentSince Jan 22, 2025 Accepting new patients
Gerio Primary Care PC CurrentSince Jun 9, 2023 Accepting new patients
Gerio Primary Care PastSince Feb 1, 2025 Accepting new patients

Locations

4655 W Chase Ave
Lincolnwood, IL 60712
Phone 8472623800202

8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD

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 5

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": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1346730561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 E 2ND ST",
            "city": "BECKEMEYER",
            "state": "IL",
            "postal_code": "622194202",
            "telephone_number": "618-484-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 E 2ND ST",
            "city": "BECKEMEYER",
            "state": "IL",
            "postal_code": "622194202",
            "telephone_number": "618-484-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANIA",
        "first_name": "AMANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-14",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209016324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckemeyer, IL

Sources for this page

Verify at the official NPI Registry.