Active NPI
Amy McLain, APN
- Nurse Practitioner
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209015064
- Practice address
- 4965 E Lost Bridge Rd
Decatur, IL 62521-5139 - Phone
- (217) 864-5531
- Fax
- (217) 864-2449
- NPI assigned
- Nov 30, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209015064 | IL | Primary |
Addresses
Primary practice location
4965 E Lost Bridge Rd
Decatur, IL 62521-5139
Mailing address
3051 Hollis Dr
Springfield, IL 62704-7450
Phone (217) 492-9695
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amclain348702@ewd.direct.hshs.org | 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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4965 E Lost Bridge Rd
Decatur, IL 62521-5139
Phone (217) 864-5531
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.81 of 100
- Quality
- 85.98
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209015064 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SJL Health Systems Inc | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| HSHS Medical Group Inc | Current | Accepting new patients | |
| Sarah Bush Lincoln Health Center | Current | Accepting new patients | |
| HSHS Medical Group Inc | Past | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
1900 E Lake Shore Dr
Ste 330
Decatur, IL 62521
Phone (217) 423-2889
4965 E Lost Bridge Rd
Decatur, IL 62521
Phone (217) 321-9321
1005 Health Center Dr
Ste 201
Mattoon, IL 61938
Phone (217) 238-6055
1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389
101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730
1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100
3051 Hollis Dr
Springfield, IL 62704
Phone (217) 523-5406
3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321
1100 Tuscola Blvd
Tuscola, IL 61953
Phone (217) 253-2020
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Springfield, IL
- NPI 1962644807
-
- General Acute Care Hospital
- Mattoon, IL
- NPI 1669564662
-
dba HSHS Medical Group Family Medicine - Dieterich
- Rural Health Clinic/Center
- Dieterich, IL
- NPI 1033841192
-
dba FCH Greenville Family Medicine Clinic
- Rural Health Clinic/Center
- Greenville, IL
- NPI 1811858970
-
dba Prairie Rose Health Care Center
- Skilled Nursing Facility
- Pana, IL
- NPI 1215037353
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
-
- Rural Health Clinic/Center
- Rushville, IL
- NPI 1487719480
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
dba HSHS Home Care Illinois
- Home Health Agency
- Effingham, IL
- NPI 1891758678
-
dba HSHS St. John's Hospital
- General Acute Care Hospital
- Springfield, IL
- NPI 1205818481
-
dba St Marys Hospital
- General Acute Care Hospital
- Decatur, IL
- NPI 1326041229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1487197034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3051 HOLLIS DR",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627047450",
"telephone_number": "217-492-9695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4965 E LOST BRIDGE RD",
"city": "DECATUR",
"state": "IL",
"postal_code": "625215139",
"telephone_number": "217-864-5531",
"fax_number": "217-864-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCLAIN",
"first_name": "AMY",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-30",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209015064",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amclain348702@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4965 E Lost Bridge Rd",
"city": "Decatur",
"state": "IL",
"country_code": "US",
"postal_code": "625215139",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.