Aamina Ahmed, APN
Individual provider Active NPI Family Nurse Practitioner · Peoria, IL
NPI 1992422943 · NPPES record last updated Oct 20, 2022
Key facts
- NPI
- 1992422943
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 209026016 (IL)
- Practice address
- 221 NE Glen Oak Ave
Peoria, IL 61636-0001 - Phone
- (309) 671-8297
- NPI assigned
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Osf Multi-Specialty Group
Practice addresses (Care Compare)
8600 State Route 91
Suite 130
Peoria, IL 61615-7829
Phone (309) 683-5050
Hospital & facility affiliations
- Saint Francis Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230119000474 | IL | Practitioner - Nurse Practitioner | 3173994712 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209026016 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Methodist Medical Center of Illinois | Family | Current |
Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current |
Accepting new patients |
Locations
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
900 Main St
Ste 100
Peoria, IL 61602
Phone (309) 671-7772
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
1420 W Pioneer Pkwy
Peoria, IL 61615
Phone (309) 308-5195
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
8600 State Route 91
Ste 330
Peoria, IL 61615
Phone (309) 308-2010
1001 Main St
Ste 200
Peoria, IL 61606
Phone (309) 308-2010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209026016 | IL | Yes |
Addresses
Primary practice location
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Mailing address
221 NE Glen Oak Ave
Peoria, IL 61636-0001
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209026016 | Other | IL | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | 209026016 |
Other providers in Peoria, IL
- Juanita Rodriguez Aguila-Corrales
- Christopher Chibuike Agusi
- Justin Ahlman
- Benjamin Henry Ahlrichs
- Mansoor Ahmad
- Ammar Ahmed
- Faisal Vakil Ahmed
- Faiyaz Ahmed
- Mohsina Ahmed
- Muhammad Ahmed
All providers in Peoria, IL · Family Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.