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Amy L Kindred Johnson , CPNP-PC

Nurse Practitioner - Pediatrics β€’ Springfield, IL

Active NPI 1407055353 Individual Practitioner Female Practitioner
Practice location in NPPES

415 N 9th St
Springfield, IL 627025303

Call 2175458000 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

415 N 9th St

Springfield, IL 627025303

Telephone 2175458000
Fax 2177576844
Organization at the Same NPPES Address or Phone
Siu Physicians & Surgeons, Inc Facility NPI 1164055976

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Decatur, IL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Nurse Practitioner - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.

Open Payments general payments, program year 2025

All general payments: $69.68 across 4 records.

By nature of payment

  • Food and Beverage: $51.96 across 3 records.
  • Consulting Fee: $17.72 across 1 record.

Reporting-company totals

  • Takeda Pharmaceuticals U.S.A., Inc.: $51.96 across 3 records.
  • ADMA BioManufacturing LLC: $17.72 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2007

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Springfield and Illinois

16 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Springfield, IL (687 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Springfield

0% of these 16 clinicians have the CMS telehealth indicator.

0% of these 16 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $69.68.

Manufacturer Payment Nature Product Type Amount ($)
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $19.18
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $19.16
ADMA BioManufacturing LLC
Consulting Fee
Cash or cash equivalent
β€” General $17.72
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
HYQVIA General $13.62

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-06
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES IL 209-003537
Nurse Practitioner - Pediatrics

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES IL 277000915
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier State License
209-003537 (IL)

Secondary Practice Locations

1900 E Lake Shore Dr, Suite 330

Decatur, IL 625213848

Phone: 2174232889

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

28 listed
Dr. Janet Albers , MD

Family Medicine

NPI 1023006913

Doctor of Medicine (M.D.)

Jay Benoit

Nurse Practitioner - Family

NPI 1003579335
Dr. Mukul Bhattarai , MD

Internal Medicine - Cardiovascular Disease

NPI 1013204262

Doctor of Medicine (M.D.)

Dr. Fadel Bofarrag , MD, MPH

Internal Medicine - Cardiovascular Disease

NPI 1003291279

Doctor of Medicine (M.D.), Master of Public Health

Dr. Basar Cenik , MD

Psychiatry & Neurology - Psychiatry

NPI 1013350446

Doctor of Medicine (M.D.)

Olivia Delay , FNP-C

Nurse Practitioner - Family

NPI 1033795992

Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 06, 2021

Registered at 415 N 9TH ST, SPRINGFIELD, IL 627025303 (Tel: 2175458000)

πŸ“
Updated Business Mailing Address August 06, 2021

Registered at 201 E MADISON ST STE 328, SPRINGFIELD, IL 627025131 (Tel: 2175458000)

πŸ‘€
Provider Name / Credentials Updated August 06, 2021

Recorded as AMY KINDRED JOHNSON, CPNP-PC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 06, 2021

Nurse Practitioner (license number reported to NPPES: IL 277000915)

βœ…
NPI Profile Active September 09, 2011

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 09, 2011

Registered at 1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 625213848 (Tel: 2174232889)

πŸ“
Business Mailing Address (Initial Record) September 09, 2011

Registered at 1900 E LAKE SHORE DR, SUITE 330, DECATUR, IL 625213848 (Tel: 2174232889)

πŸ‘€
Provider Name / Credentials (Initial Record) September 09, 2011

Recorded as AMY KINDRED JOHNSON, APN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2011

Nurse Practitioner (license number reported to NPPES: IL 209-003537)

🟒
Initial NPI Registration & Enumeration July 12, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1407055353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 12, 2007
Last Update: August 06, 2021
Sole Proprietor: No

Mailing Address

201 E Madison St Ste 328

Springfield, IL 627025131

Phone: 2175458000

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.