Amber Lee-ann Koth, FNP-C - Medicare Nurse Practitioner in Champaign, IL

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Amber Lee-ann Koth, FNP-C is a medicare enrolled "Nurse Practitioner" in Champaign, Illinois. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Methodist Medical Center Of Illinois and her current practice location is 1915 S Mattis Ave, Champaign, Illinois. You can reach out to her office (for appointments etc.) via phone at (217) 352-0516.

Amber Lee-ann Koth is licensed to practice in Illinois (license number 209016117) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1508388372.

Contact Information

Amber Lee-ann Koth, FNP-C
1915 S Mattis Ave,
Champaign, IL 61821-5919
(217) 352-0516
(217) 352-0976

Map and Direction




Provider's Profile

Full NameAmber Lee-ann Koth
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1915 S Mattis Ave, Champaign, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amber Lee-ann Koth graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1508388372
  • Provider Enumeration Date: 07/12/2017
  • Last Update Date: 12/19/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5496027401
  • Enrollment ID: I20170824002794

Medical Identifiers

Medical identifiers for Amber Lee-ann Koth such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508388372NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 209016117 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Medical Center Of IllinoisPeoria, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Methodist Medical Center Of Illinois1355259714246

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amber Lee-ann Koth allows following entities to bill medicare on her behalf.
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameEpss Peoria Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831421056
PECOS PAC ID: 1850587007
Enrollment ID: O20101130000569
Entity NameEpss Llc - East Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841533882
PECOS PAC ID: 8729213459
Enrollment ID: O20140213001518
Entity NameMethodist Medical Center Of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265966048
PECOS PAC ID: 1355259714
Enrollment ID: O20170828003194
Entity NameEpss Llc - Central Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538680467
PECOS PAC ID: 6204192016
Enrollment ID: O20171110002604
Entity NameEpss North Region Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194282707
PECOS PAC ID: 0345582474
Enrollment ID: O20190422000388
Entity NameEpss, Llc- Metro Series
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124782305
PECOS PAC ID: 6608266713
Enrollment ID: O20211203002440

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amber Lee-ann Koth is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amber Lee-ann Koth, FNP-C
221 Ne Glen Oak Ave,
Peoria, IL 61636-4416

Ph: (309) 672-5500		Amber Lee-ann Koth, FNP-C
1915 S Mattis Ave,
Champaign, IL 61821-5919

Ph: (217) 352-0516

Reviews and Comments


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Phone: 217-365-6207    Fax: 217-365-6380
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Alger Penas, NP
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Miss Abigayl Frields, FNP
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.