Individual provider Active NPI

Amanda Jean Powell, RN, APN, FNP-C

  • Family Nurse Practitioner
  • Elgin, IL
National Provider Identifier
1225676992
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209.019854 Issued in IL
Practice address
1710 N Randall Rd Ste 140
Elgin, IL 60123-9401
Phone
(630) 584-1400
NPI assigned
Dec 12, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209.019854 IL
Family Nurse Practitioner 363LF0000X 209.019854 IL Primary

Addresses

Primary practice location

1710 N Randall Rd Ste 140
Elgin, IL 60123-9401

Mailing address

2052 Tunbridge TRL
Algonquin, IL 60102-6024
Phone (847) 987-9883

Other practice location 1

2350 Royal Blvd Ste 200
Elgin, IL 60123-4718
Phone (630) 584-1400

Other names 1

  • Amanda Jean Frasher Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240502000589 IL Practitioner - Nurse Practitioner 5890135263 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fvo Primary LLCGroup PAC ID 1557711678, 2 clinicians

Practice addresses (Care Compare)

1710 N Randall Rd
Suite 140
Elgin, IL 60123-9401
Phone (630) 584-1400

Hospital & facility affiliations

  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
209.019854ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Internal Medicine Clinic Inc CurrentSince Mar 3, 2024 Accepting new patients
Fvo Primary LLC CurrentSince Dec 2, 2024 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Past Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Past Accepting new patients

Locations

Dept 4989
Carol Stream, IL 60122

1710 N Randall Rd
Ste 140
Elgin, IL 60123
Phone (224) 293-1170

2350 Royal Blvd
Ste 200
Elgin, IL 60123
Phone (847) 931-5300

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

1555 N Barrington Rd
Ste 210
Hoffman Estates, IL 60169
Phone (847) 843-1100

Interoperability endpoints

  • Direct secure messaging: amanda.powell.1@26750.direct.athenahealth.com

Organizations & group practices 4

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

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1225676992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2052 TUNBRIDGE TRL",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601026024",
            "telephone_number": "847-987-9883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 N RANDALL RD STE 140",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601239401",
            "telephone_number": "630-584-1400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2350 Royal Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234718",
            "country_code": "US",
            "telephone_number": "630-584-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "AMANDA",
        "middle_name": "JEAN",
        "credential": "RN, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-12",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.019854",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.019854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "FRASHER",
            "middle_name": "JEAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.