Individual provider Active NPI

Amber Marie Vicary, RN

  • Family Nurse Practitioner
  • Tremont, IL
National Provider Identifier
1902693963
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209033098 Issued in IL
Practice address
2668 SE Windermere Dr
Tremont, IL 61568-9764
Phone
(309) 264-3677
NPI assigned
Apr 23, 2025
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 209033098 IL Primary
Pediatric Registered Nurse 163WP0200X 041419886 IL

Addresses

Primary practice location

2668 SE Windermere Dr
Tremont, IL 61568-9764

Mailing address

2668 SE Windermere Dr
Tremont, IL 61568-9764
Phone (309) 264-3677

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
I20250916000575 IL Practitioner - Nurse Practitioner 5193229045 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Saint James HospitalGroup PAC ID 0648187252, 74 clinicians

Practice addresses (Care Compare)

10 Saint Clare CT
Washington, IL 61571-9239
Phone (309) 886-4000

401 N Main St
Osf Healthcare Medical Group Roanoke
Roanoke, IL 61561-7585
Phone (309) 923-2661

5114 N Glen Park Place Rd
Peoria, IL 61614-4686
Phone (309) 683-8156

8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
041419886ILMDPediatric Registered Nurse
209033098ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint James Hospital CurrentSince Sep 4, 2025 Accepting new patients
Saint James Hospital CurrentSince Sep 4, 2025 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Saint James Hospital Current Accepting new patients
Osf Multi-Specialty Group CurrentSince Sep 4, 2025 Accepting new patients
Saint James Hospital Past Accepting new patients

Locations

435 Maxine Dr
Ste 3
Morton, IL 61550
Phone (306) 263-2424

3422 Court St
#A
Pekin, IL 61554
Phone (309) 477-6000

1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195

5111 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 683-5700

5114 N Glen Park Place Rd
Ste 220
Peoria, IL 61614
Phone (309) 683-8100

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828

Organizations & group practices 6

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": "1745366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1902693963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2668 SE WINDERMERE DR",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615689764",
            "telephone_number": "309-264-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2668 SE WINDERMERE DR",
            "city": "TREMONT",
            "state": "IL",
            "postal_code": "615689764",
            "telephone_number": "309-264-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICARY",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-23",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209033098",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "IL",
            "license": "041419886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tremont, IL

Sources for this page

Verify at the official NPI Registry.