Active NPI
Natalie M. Amodeo, FNP-BC
- Family Nurse Practitioner
- St Charles, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 209021131
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209021131 | IL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergy & Asthma Medical Associates LTD | Current | Accepting new patients | |
| Elgin Gastroenterology SC | Past | 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.
-
- Allergy Physician
- St Charles, IL
- NPI 1396894812
-
- Gastroenterology Physician
- Elgin, IL
- NPI 1932291101
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2021; 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.