Individual provider Active NPI

Amanda Matthews, APN

  • Family Nurse Practitioner
  • Normal, IL
National Provider Identifier
1700308996
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017010200 Issued in IL
Practice address
1302 Franklin Ave Ste 3000
Normal, IL 61761-6522
Phone
(309) 676-8123
Fax
(309) 676-8455
NPI assigned
Jul 10, 2017
Last updated
Jul 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017010200 IL Primary
Nurse Practitioner 363L00000X 209016352 IL

Addresses

Primary practice location

1302 Franklin Ave Ste 3000
Normal, IL 61761-6522

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

702 S Rittenhouse Dr
Pontiac, IL 61764-3630
Phone (309) 676-8123

Other practice location 2

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

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
I20170817003672 IL Practitioner - Nurse Practitioner 2769754274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Illinois Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians

Practice addresses (Care Compare)

1302 Franklin Ave
Suite 3000
Normal, IL 61761-6522
Phone (309) 663-4766

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2017010200ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renalcare Associates, S.C. Nurse Practitioner CurrentSince Jun 26, 2017 Accepting new patients

Locations

400 John Deere Rd
Bldg 2
Moline, IL 61265
Phone (309) 797-0594

430 Maxine Dr
Morton, IL 61550
Phone (309) 266-7600

1302 Franklin Ave
Ste 3000
Normal, IL 61761
Phone (309) 454-3456

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

600 S 13th St
Ste K
Pekin, IL 61554
Phone (309) 347-1151

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

702 S Rittenhouse Dr
Pontiac, IL 61764
Phone (309) 662-9461

Interoperability endpoints

  • Direct secure messaging: amatthews8994@direct.acumenmd.com

Organizations & group practices 1

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 1

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": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1700308996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033112",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1302 FRANKLIN AVE STE 3000",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616522",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "702 S Rittenhouse Dr",
            "address_purpose": "LOCATION",
            "city": "Pontiac",
            "state": "IL",
            "postal_code": "617643630",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 NE Glen Oak Ave Ste 401",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616033112",
            "country_code": "US",
            "telephone_number": "309-676-8123",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "AMANDA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-10",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "2017010200",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209016352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

Verify at the official NPI Registry.