Individual provider Active NPI

Amie Kremer, APRN CNP

  • Neonatal Nurse Practitioner
  • Peoria, IL
National Provider Identifier
1346823911
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
209031151 Issued in IL
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-5902
Phone
(309) 655-2000
NPI assigned
May 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Neonatal Nurse Practitioner 363LN0005X XXXXXXXXXXXXX MI
Neonatal-Perinatal Medicine Physician 2080N0001X 71017549A IN
Critical Care Neonatal Nurse Practitioner 363LN0005X 1346823911 MI
Neonatal Nurse Practitioner 363LN0000X 209031151 IL Primary
Neonatal Nurse Practitioner 363LN0000X 10062293 OR

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-5902

Mailing address

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone (309) 655-2000

Other practice location 1

2801 N Gantenbein Ave
Portland, OR 97227-1623
Phone (503) 276-8785

Other practice location 2

3900 Washington Ave
Evansville, IN 47714-0550
Phone (812) 485-4000

Other practice location 3

1 Hurley Plz
Flint, MI 48503-5902
Phone (810) 262-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI, IL, IN4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20240122002832 NC Practitioner - Nurse Practitioner 8820440217 Reassigns benefits to 1 organization
I20241125000635 MI Practitioner - Nurse Practitioner 8820440217 Reassigns benefits to 1 organization
I20241205001446 IL Practitioner - Nurse Practitioner 8820440217 Reassigns benefits to 2 organizations
I20260521002839 IN Practitioner - Nurse Practitioner 8820440217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Wayne State University School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

250 W 96TH St
Suite 520
Indianapolis, IN 46260-1317

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71017549AINMDNeonatal-Perinatal Medicine Physician
209031151ILMDNeonatal Nurse Practitioner
1346823911MIMDCritical Care Neonatal Nurse Practitioner
XXXXXXXXXXXXXMIMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Nov 27, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Unc Physicians Network LLC CurrentSince Jan 7, 2024 Accepting new patients
Carle Health Care Incorporated CurrentSince Jan 21, 2025 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Sep 5, 2024 Accepting new patients
SJMH Medical Practice-SMHC CurrentSince Sep 5, 2024 Accepting new patients
Carle Health Care Incorporated Past Accepting new patients
Pediatrix Medical Group of Michigan PC Neonatal-Perinatal Medicine Past Accepting new patients

Locations

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

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

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

20555 Victor Pkwy
#3A
Livonia, MI 48152

44405 Woodward Ave
Pontiac, MI 48341
Phone (248) 858-3000

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: akremer2783789@direct.trinity-health.org

Organizations & group practices 10

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784160000000",
    "number": "1346823911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616375902",
            "telephone_number": "309-655-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2801 N Gantenbein Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972271623",
            "country_code": "US",
            "telephone_number": "503-276-8785",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3900 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140550",
            "country_code": "US",
            "telephone_number": "812-485-4000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Hurley Plz",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485035902",
            "country_code": "US",
            "telephone_number": "810-262-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KREMER",
        "first_name": "AMIE",
        "credential": "APRN CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MI",
            "license": "XXXXXXXXXXXXX",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "71017549A",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "MI",
            "license": "1346823911",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "IL",
            "license": "209031151",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OR",
            "license": "10062293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.