Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amy Underwood Fallings

Individual provider Nurse Practitioner · NPI 1942859681

Amy Underwood Fallings is a Nurse Practitioner in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Blue Ridge Healthcare Medical Group Inc, a 223-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
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Practice location Address checks out

5405 N Knoxville Ave
Peoria, IL 61614-5016
Phone: (309) 683-6710
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209020000 (IL)

Record details

NPI number1942859681
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 5, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Blue Ridge Healthcare Medical Group Inc — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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