Individual provider Active NPI

Clara Ampadu, FNP-C

  • Family Nurse Practitioner
  • Swansea, IL
National Provider Identifier
1578096806
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017008662 Issued in MO
Practice address
15 Park PL
Swansea, IL 62226-2918
Phone
(618) 580-1359
Fax
(618) 234-7242
NPI assigned
Apr 4, 2017
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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 209015985 IL
Family Nurse Practitioner 363LF0000X 2017008662 MO Primary

Addresses

Primary practice location

15 Park PL
Swansea, IL 62226-2918

Mailing address

15 Park PL
Swansea, IL 62226-2918
Phone (618) 257-0780

Other identifiers 1

IdentifierTypeStateIssuer
0360832704MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dr.ampadufacp@ampadumed.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170524002577 IL Practitioner - Nurse Practitioner 9234304296 Reassigns benefits to 1 organization
I20230328000736 MO Practitioner - Nurse Practitioner 9234304296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adult Internal Medicine Practice LLCGroup PAC ID 9638244494, 3 clinicians

Practice addresses (Care Compare)

15 Park PL
Swansea, IL 62226-2918
Phone (618) 257-0780

Merit-based Incentive Payment System (MIPS)

Final score
21.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Adult Internal Medicine Practice LLC CurrentSince Mar 11, 2020 Accepting new patients
15 Park Place LLC Current Accepting new patients
Midwestern Hospice LLC Current Accepting new patients

Locations

15 Park Pl
Swansea, IL 62226
Phone (618) 233-9729

15 Park Pl
Ste 101
Swansea, IL 62226

150 N 27th St
Swansea, IL 62226
Phone (618) 235-6600

3625 Magnolia Ave
Saint Louis, MO 63110
Phone (314) 771-2990

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1578096806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262918",
            "telephone_number": "618-257-0780",
            "fax_number": "618-257-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK PL",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262918",
            "telephone_number": "618-580-1359",
            "fax_number": "618-234-7242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMPADU",
        "first_name": "CLARA",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-04",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209015985",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017008662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360832704",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dr.ampadufacp@ampadumed.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "15 Park Pl",
            "city": "Swansea",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622262918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.