Active NPI
Amber Marie Vicary, RN
- Family Nurse Practitioner
- Tremont, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209033098
- Practice address
- 2668 SE Windermere Dr
Tremont, IL 61568-9764 - Phone
- (309) 264-3677
- NPI assigned
- Apr 23, 2025
- Last updated
- Sep 4, 2025
- 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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 041419886 | IL | MD | Pediatric Registered Nurse |
| 209033098 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint James Hospital | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Saint James Hospital | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current | 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.
-
- Internal Medicine Physician
- Peoria, IL
- NPI 1922445527
-
dba Saint James Hospital - Multiple Hospital Departments
- Anesthesiology Physician
- Pontiac, IL
- NPI 1790735421
-
dba OSF Healthcare - Medical Group - Roanoke
- Rural Health Clinic/Center
- Roanoke, IL
- NPI 1164138848
-
dba OSF Healthcare - Medical Group (Non-RHC Billing)
- Family Medicine Physician
- Clinton, IL
- NPI 1356058119
-
dba patton pharmacy and v&s variety
- Community/Retail Pharmacy
- Patton, PA
- NPI 1578541413
-
dba OSF Medical Group - Cullom
- Rural Health Clinic/Center
- Cullom, IL
- NPI 1790712701
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.