Individual provider Active NPI

Valerie Lyn Imber, APN

  • Nurse Practitioner
  • New Lenox, IL
National Provider Identifier
1841871209
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209023179 Issued in IL
Practice address
1890 Silver Cross Blvd Ste 520
New Lenox, IL 60451-9575
Phone
(815) 979-5033
NPI assigned
Apr 17, 2021
Last updated
Feb 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209023179 IL Primary

Addresses

Primary practice location

1890 Silver Cross Blvd Ste 520
New Lenox, IL 60451-9575

Mailing address

480 East Roosevelt Road
Suite 105
West Chicago, IL 60185-3969
Phone (630) 492-1965

Other names 1

  • Ms. Valerie Lyn Armbruster Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 6, 2022 through Apr 6, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
209023179ILMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Motivated Medicine, PLLC CurrentSince Feb 27, 2022 Accepting new patients

Locations

480 E Roosevelt Rd
Ste 105
West Chicago, IL 60185
Phone (630) 492-1965

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.

NPI Registry JSON

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

{
    "created_epoch": "1618617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1841871209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 EAST ROOSEVELT ROAD",
            "address_2": "SUITE 105",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853969",
            "telephone_number": "630-492-1965",
            "fax_number": "630-492-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 520",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519575",
            "telephone_number": "815-979-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMBER",
        "first_name": "VALERIE",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-17",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209023179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "ARMBRUSTER",
            "middle_name": "LYN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Lenox, IL

Sources for this page

Verify at the official NPI Registry.