Amanda Rediger

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

209025356 Issued in IL

Practice address

110 N Burr Blvd
Kewanee, IL 61443-2214

Phone

(309) 852-0197

NPI assigned

Jun 29, 2022

Last updated

Jun 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

County of HenryGroup PAC ID 5193828556, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Osf Saint Luke Medical Center Hospital, Kewanee, IL, CCN 141325

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BFDIAD/Endpoint/BFDIAD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• County of Henry

  dba First Choice Healthcare

  • State or Local Public Health Clinic/Center
  • Kewanee, IL
  • NPI 1851394829
  Medicare reassignment Care Compare group NPD
• County of Henry

  dba First Choice Healthcare

  • Rural Health Clinic/Center
  • Toulon, IL
  • NPI 1245049501
  NPD
• County of Henry

  • Rural Health Clinic/Center
  • Kewanee, IL
  • NPI 1265066625
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Osf Healthcare System

  dba Osf Saint Luke Medical Center

  • Critical Access Hospital
  • Kewanee, IL
  • NPI 1871919381
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656460800000",
    "number": "1184356958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N BURR BLVD",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432214",
            "telephone_number": "309-852-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N BURR BLVD",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614432214",
            "telephone_number": "309-852-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDIGER",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2022-06-29",
        "certification_date": "2022-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209025356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Petersen Health Systems, Inc. (Courtyard Estates at Kewanee)
• Pointer Chiropractic, LLC.
• Gordon M Pointer, DO
• Kaitlyn Rapps, DPT
• Kelli E Rashid, OTRL
• Regional Family Health Center
• Regional Health Partners, LLC
• Mallory Lynn Reiber, ATC, PTA
• Stephen L Rider, DDS
• Karlynn Roecker, PHARMACIST

• Nurse Practitioner in Kewanee, IL
• Providers in Kewanee, IL by specialty
• Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.