Individual provider Active NPI

Amy Louise Redmer, MD

  • Family Medicine Physician
  • Shiloh, IL
National Provider Identifier
1982676698
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036155300 Issued in IL
Practice address
1116 Hartman LN
Shiloh, IL 62221-8014
Phone
(618) 641-9011
Fax
(618) 641-9017
NPI assigned
Feb 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD11614 RI
Family Medicine Physician 207Q00000X 036155300 IL Primary

Addresses

Primary practice location

1116 Hartman LN
Shiloh, IL 62221-8014

Mailing address

PO Box 387
Calpella, CA 95418-0387
Phone (707) 485-5115

Other identifiers 1

IdentifierTypeStateIssuer
MD11614OtherRISTATE LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address aredmer320011@ewd.direct.hshs.org Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210417000018 IL Practitioner - Family Practice 2365497948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
HSHS Medical Group IncGroup PAC ID 5092857821, 212 clinicians

Practice addresses (Care Compare)

1116 Hartman LN
Shiloh, IL 62221-8014
Phone (618) 641-9011

Hospital & facility affiliations

  • HSHS Home Care Illinois Home health agency, Effingham, IL, CCN 147661
  • Mederi Caretenders of Fairview Heights Home health agency, Fairview Heights, IL, CCN 147289
  • Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504
  • HSHS St Elizabeth'S Hospital Hospital, O Fallon, IL, CCN 140187
  • St Johns Hospital Hospital, Springfield, IL, CCN 140053
  • St Josephs Hospital Hospital, Breese, IL, CCN 140145
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185
  • St Joseph'S Hospital Hospital, Highland, IL, CCN 141336

Merit-based Incentive Payment System (MIPS)

Final score
94.81 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
HSHS Medical Group Inc Current Accepting new patients
SJL Health Systems Inc CurrentSince Jun 28, 2021 Accepting new patients
HSHS Medical Group Inc CurrentSince Jun 28, 2021 Accepting new patients
HSHS Medical Group Inc Past Accepting new patients

Locations

1512 N Green Mount Rd
O Fallon, IL 62269
Phone (618) 624-0100

1116 Hartman Ln
Shiloh, IL 62221
Phone (618) 641-5803

3051 Hollis Dr
Fl 2
Springfield, IL 62704
Phone (217) 321-9321

Interoperability endpoints

  • Direct secure messaging: aredmer320011@ewd.direct.hshs.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 9

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": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1982676698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 387",
            "city": "CALPELLA",
            "state": "CA",
            "postal_code": "954180387",
            "telephone_number": "707-485-5115",
            "fax_number": "707-485-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 HARTMAN LN",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622218014",
            "telephone_number": "618-641-9011",
            "fax_number": "618-641-9017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMER",
        "first_name": "AMY",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-06",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD11614",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036155300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD11614",
            "state": "RI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aredmer320011@ewd.direct.hshs.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "1116 Hartman Ln",
            "city": "Shiloh",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622218014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shiloh, IL

Sources for this page

Verify at the official NPI Registry.