Amanda Anne Breeding, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

041457427 Issued in IL

Practice address

2801 W Main St
Belleville, IL 62226-6646

Phone

(618) 416-2018

NPI assigned

Dec 16, 2025

Last updated

Dec 16, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Amanda Anne Gavin Former name

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Group practices

Belleville Urgent Care Walk-in ClinicGroup PAC ID 4183050362, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Belleville Urgent Care Walk-in Clinic

  • Family Medicine Physician
  • Belleville, IL
  • NPI 1225694946
  Medicare reassignment Care Compare group NPD
• Alton Urgent Care Walk in Clinic Company

  • Family Medicine Physician
  • Alton, IL
  • NPI 1013521343
  Medicare reassignment NPD
• Granite City Urgent Care Walk-in Clinic

  • Urgent Care Clinic/Center
  • Granite City, IL
  • NPI 1659861953
  Medicare reassignment NPD
• Waterloo Urgent Care Walk in Clinic Company

  • Family Medicine Physician
  • Waterloo, IL
  • NPI 1508471418
  Medicare reassignment NPD
• Wood River Urgent Care and Walk in Clinic Inc

  • Family Medicine Physician
  • Wood River, IL
  • NPI 1427717438
  Medicare reassignment NPD

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1679437305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266646",
            "telephone_number": "618-416-2018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W MAIN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622266646",
            "telephone_number": "618-416-2018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREEDING",
        "first_name": "AMANDA",
        "middle_name": "ANNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "041457427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GAVIN",
            "middle_name": "ANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Edgar J Breda, D.D.S.
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• Bonnie Breitbarth, PT
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• Pamela Kristin Brezger, M.S. CCC-SLP

• Family Nurse Practitioner in Belleville, IL
• Providers in Belleville, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2025; 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.

Verify at the official NPI Registry.