AMBER MARIE VICARY (RN) – Family Nurse Practitioner, NPI 1902693963

AMBER MARIE VICARY (RN) is a healthcare provider. based in Tremont, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials RN. They hold a License No. 041419886 (IL). The NPI Number for AMBER MARIE VICARY (RN) is 1902693963

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
AMBER MARIE VICARY (RN)
NPI
1902693963
Phone
(309) 264-3677
Address
2668 SE WINDERMERE DR
Enumeration Date
23 April 2025
Last Update Date
4 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3096838156
Graduation Year
2025 (1 year ago)
PAC ID
5193229045
Group Practice PAC ID
3678889789
Professional Enrollment ID
I20250916000575
Address ID
IL616144686PE5114XRDXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness85
Years active:1State licenses:2Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for AMBER MARIE VICARY (RN)

  • 2668 SE WINDERMERE DR

    TREMONT, IL 615689764

    Phone: (309) 264-3677

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250916000575INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61568)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678889789View full group profile

Reviews

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Frequently asked questions

What is the registry number for AMBER MARIE VICARY (RN)?
The registry entry for AMBER MARIE VICARY (RN) shows NPI 1902693963.
Should I treat AMBER MARIE VICARY (RN) as an active provider?
Patients and plans typically see AMBER MARIE VICARY (RN) as active in the national extract.
How should patients interpret AMBER MARIE VICARY (RN)'s specialty?
The extract shows Family Nurse Practitioner for AMBER MARIE VICARY (RN). Clinical services aligned with this taxonomy classification.
What geographic area is tied to AMBER MARIE VICARY (RN)?
AMBER MARIE VICARY (RN) is associated with Tremont, Illinois in the same public data insurers reference.
Who maintains AMBER MARIE VICARY (RN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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