Active NPI
Amy Garner, NP
- Family Nurse Practitioner
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209016580
- Practice address
- 9010 N Allen Rd Ste J
Peoria, IL 61615-1584 - Phone
- (309) 495-8500
- NPI assigned
- Sep 19, 2017
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209016580 | IL | Primary |
Addresses
Primary practice location
9010 N Allen Rd Ste J
Peoria, IL 61615-1584
Mailing address
9010 N Allen Rd Ste J
Peoria, IL 61615-1584
Phone (309) 495-8500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209016580 | Other | IL | LICENSE |
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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
330 SW Adams St
Peoria, IL 61602-1502
Phone (309) 655-2877
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Osf Home Health-Western Region
- St. Francis Medical Center
- Saint Francis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209016580 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Family | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients |
Locations
2535 E Washington St
East Peoria, IL 61611
Phone (309) 694-6464
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
9010 N Allen Rd
Ste J
Peoria, IL 61615
Phone (309) 495-8500
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
3915 Barring Trce
Peoria, IL 61615
Phone (309) 689-3030
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
330 SW Adams St
Peoria, IL 61602
Phone (309) 402-2978
1120 E War Memorial Dr
Peoria Hts, IL 61616
Phone (309) 685-1774
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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Peoria, IL
- NPI 1346281425
-
- Home Health Agency
- Galesburg, IL
- NPI 1225072176
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1659890804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9010 N ALLEN RD STE J",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151584",
"telephone_number": "309-495-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9010 N ALLEN RD STE J",
"city": "PEORIA",
"state": "IL",
"postal_code": "616151584",
"telephone_number": "309-495-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "AMY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209016580",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "209016580",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.