Individual provider Active NPI

Natalie M. Amodeo, FNP-BC

  • Family Nurse Practitioner
  • St Charles, IL
National Provider Identifier
1851990667
Registry record updated Nov 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209021131 Issued in IL
Practice address
2210 Dean St Ste M
St Charles, IL 60175-1059
Phone
(630) 513-1691
NPI assigned
Oct 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209021131 IL Primary

Addresses

Primary practice location

2210 Dean St Ste M
St Charles, IL 60175-1059

Mailing address

2210 Dean St Ste M
St Charles, IL 60175-1059
Phone (630) 513-1691

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
I20210211001654 IL Practitioner - Nurse Practitioner 6406261072 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy and Asthma Medical Associates LTDGroup PAC ID 4082707120, 4 clinicians

Practice addresses (Care Compare)

2210 Dean St
Suite M
St Charles, IL 60175-1059
Phone (630) 513-1691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
209021131ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy & Asthma Medical Associates LTD CurrentSince Jan 1, 2022 Accepting new patients
Elgin Gastroenterology SC PastSince Dec 5, 2021 Accepting new patients

Locations

600 S Randall Rd
Ste 230
Algonquin, IL 60102
Phone (847) 545-9028

389 S Schmale Rd
Carol Stream, IL 60188
Phone (630) 206-1691

21660 W Field Pkwy
Ste 301
Deer Park, IL 60010
Phone (847) 232-4045

1600 N Randall Rd
Ste 220
Elgin, IL 60123
Phone (630) 668-9610

2210 Dean St
Ste M
St Charles, IL 60175
Phone (630) 513-1691

2676 DeKalb Ave
Sycamore, IL 60178
Phone (815) 517-0917

Organizations & group practices 2

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": "1603324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637971200000",
    "number": "1851990667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751059",
            "telephone_number": "630-513-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 DEAN ST STE M",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751059",
            "telephone_number": "630-513-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMODEO",
        "first_name": "NATALIE",
        "middle_name": "M.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-22",
        "last_updated": "2021-11-27",
        "certification_date": "2021-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209021131",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

Verify at the official NPI Registry.