Amber Pendegraft, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209019581 Issued in IL

Practice address

39 Dorothy Dr
Troy, IL 62294-1389

Phone

(618) 530-5079

NPI assigned

Jul 1, 2019

Last updated

Sep 27, 2024By 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

Electronic endpoints 3

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, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gerio Primary Care PCGroup PAC ID 0749640969, 13 clinicians

Midwest Post Acute Care PLLCGroup PAC ID 0143547117, 125 clinicians

Advanced Practice Nursing Services IncGroup PAC ID 4183908999, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of Southern Illinois, Inc Hospice, Belleville, IL, CCN 141504

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations (25 of 32)

Interoperability endpoints

• Direct secure messaging: amber.pendegraft.1@15486.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/FEEBDD

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.

• Advanced Practice Nursing Services Inc

  • Adult Health Nurse Practitioner
  • Freeburg, IL
  • NPI 1861867863
  Medicare reassignment Care Compare group NPD
• Gerio Primary Care PC

  • Geriatric Medicine (Family Medicine) Physician
  • Beckemeyer, IL
  • NPI 1700578846
  Medicare reassignment Care Compare group NPD
• Midwest Post Acute Care PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1083012074
  Medicare reassignment Care Compare group NPD
• Midwest Post Acute Care Aco PLLC

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1457926537
  Medicare reassignment NPD
• Provider Partners Care Management LP

  • Nurse Practitioner
  • Columbia, MD
  • NPI 1013348028

  IL

  Medicare reassignment NPD
• Sound Physicians of Illinois, LLC

  • Hospitalist Physician
  • Bridgeton, MO
  • NPI 1043598865

  IL

  Medicare reassignment NPD
• A-Z Advanced Nursing Services LLC

  • Family Nurse Practitioner
  • Breese, IL
  • NPI 1760325930
  NPD Authorized official
• Gerio Primary Care

  • Rural Health Clinic/Center
  • Breese, IL
  • NPI 1700681459
  NPD (past)

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

• Hospice of Southern Illinois, Inc.

  • Community Based Hospice Care Agency
  • Belleville, IL
  • NPI 1720081805
  Care Compare affiliation

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1710549613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 SCOTT TROY RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622694121",
            "telephone_number": "618-444-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 DOROTHY DR",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941389",
            "telephone_number": "618-530-5079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "332 S Michigan Ave Ste 1100",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606044416",
            "country_code": "US",
            "telephone_number": "618-444-7231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENDEGRAFT",
        "first_name": "AMBER",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209019581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.pendegraft.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "IMH",
            "affiliationName": "Iroquois Memorial Hospital and Resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "508 E Crescent St",
            "city": "Gilman",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609381702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.pendegraft.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "IMH",
            "affiliationName": "Iroquois Memorial Hospital and Resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "34 E Jones St",
            "city": "Milford",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609531046",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amber.pendegraft.1@15486.direct.athenahealth.com",
            "affiliation": "Y",
            "endpointDescription": "IMH",
            "affiliationName": "Iroquois Memorial Hospital and resident Home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "200 Laird Ln",
            "city": "Watseka",
            "state": "IL",
            "country_code": "US",
            "postal_code": "609707568",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Paige Nedrow
• New Beginnings Counseling Services, LLC
• Optimized Wellness PC
• Stefani Panicola
• Bhavesh Patel, M.D.
• Taylor R Petrich, DMD
• Ashlynn Kaye Pinney, LCPC
• Abigail Marie Podshadley
• Mark F Porter, DMD
• Prescriptions Plus Pharmacy of Troy Inc (Prescriptions Plus)

• Family Nurse Practitioner in Troy, IL
• Providers in Troy, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.