Individual provider Active NPI

Amy L Feist, A.P.N

  • Nurse Practitioner
  • Aledo, IL
National Provider Identifier
1659606267
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209007778 Issued in IL
Practice address
1007 NW 3Rd St
Aledo, IL 61231-1317
Phone
(309) 309-5829
Fax
(309) 582-9479
NPI assigned
Oct 15, 2009
Last updated
May 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209007778 IL Primary
Acute Care Nurse Practitioner 363LA2100X L-111778 IA
Acute Care Nurse Practitioner 363LA2100X 209007778 IL

Addresses

Primary practice location

1007 NW 3Rd St
Aledo, IL 61231-1317

Mailing address

1007 NW 3Rd St
Aledo, IL 61231-1317
Phone (309) 582-9450

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amy.feist@direct.genesishealth.com Other

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
I20091123000301 IL Practitioner - Nurse Practitioner 5890834311 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Mercer HospitalGroup PAC ID 4789674961, 8 clinicians
Genesis Medical Center, AledoGroup PAC ID 7315190436, shared by 3 NPIs, 17 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians

Practice addresses (Care Compare)

1007 NW 3Rd St
Aledo, IL 61231-1317

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L-111778IAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Medical Center, Aledo Current Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jan 9, 2017 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jan 9, 2017 Accepting new patients
Genesis Medical Center, Aledo Past Accepting new patients

Locations

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

Interoperability endpoints

  • Direct secure messaging: amy.feist@direct.genesishealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1255564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1659606267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-582-9450",
            "fax_number": "309-582-9479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 NW 3RD ST",
            "city": "ALEDO",
            "state": "IL",
            "postal_code": "612311317",
            "telephone_number": "309-309-5829",
            "fax_number": "309-582-9479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEIST",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "A.P.N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-15",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209007778",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IA",
            "license": "L-111778",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "IL",
            "license": "209007778",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amy.feist@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CCDA",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1007 NW 3rd St",
            "city": "Aledo",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612311317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Aledo, IL

Sources for this page

Verify at the official NPI Registry.