Active NPI
Amanda Matthews, APN
- Family Nurse Practitioner
- Normal, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017010200
- 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, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2017010200 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renalcare Associates, S.C. | Nurse Practitioner | Current | 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
- 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.
-
dba OSF Saint Joseph Medical Center
- General Acute Care Hospital
- Bloomington, IL
- NPI 1619916806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.