Individual provider Active NPI

Amanda Anne Wessel, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1417197690
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001340 Issued in IL
Practice address
15025 S Des Plaines St Ste 201
Plainfield, IL 60544-1868
Phone
(630) 955-7808
NPI assigned
Feb 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001340 IL Primary

Addresses

Primary practice location

15025 S Des Plaines St Ste 201
Plainfield, IL 60544-1868

Mailing address

4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (630) 428-7890

Other practice location 1

800 Black Rd
Joliet, IL 60435-5942
Phone (815) 727-6667

Other names 1

  • Amanda A Twait 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
I20090914000228 IL Practitioner - Nurse Practitioner 5799831921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Edgewood Clinical Services P.C.Group PAC ID 3971963901, 304 clinicians
Cornerstone Services IncGroup PAC ID 9739135294, 5 clinicians

Practice addresses (Care Compare)

15025 S Des Plaines St
Suite 201 205
Plainfield, IL 60544-1868
Phone (888) 428-7890

800 Black Rd
Joliet, IL 60435-5942
Phone (815) 727-6667

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277001340ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Edgewood Clinical Services, P.C. Psychiatric/Mental Health CurrentSince Aug 7, 2023 Accepting new patients
Cornerstone Services Inc CurrentSince Sep 1, 2018 Accepting new patients
Cornerstone Services Inc CurrentSince Sep 1, 2018 Accepting new patients
Edgewood Clinical Services, P.C. Past Accepting new patients
Psychology Specialists LTD Past Accepting new patients
Cornerstone Services Inc PastSince Apr 1, 2020 Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

808 S Eldorado Rd
Ste 102
Bloomington, IL 61704
Phone (309) 212-6007

800 Black Rd
Joliet, IL 60435
Phone (815) 727-6667

777 Joyce Rd
Joliet, IL 60436
Phone (815) 727-6666

2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165

15025 S Des Plaines St
Ste 201205
Plainfield, IL 60544

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.amandatwait@146897.advancedmd-direct.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768521600000",
    "number": "1417197690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 N SCOTTSDALE RD STE 2500",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852517630",
            "telephone_number": "630-428-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15025 S DES PLAINES ST STE 201",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605441868",
            "telephone_number": "630-955-7808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Black Rd",
            "address_purpose": "LOCATION",
            "city": "Joliet",
            "state": "IL",
            "postal_code": "604355942",
            "country_code": "US",
            "telephone_number": "815-727-6667",
            "fax_number": "815-727-6688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSEL",
        "first_name": "AMANDA",
        "middle_name": "ANNE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "TWAIT",
            "middle_name": "A",
            "credential": "PMHNP-BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.