Amanda D Reed, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018997 Issued in IL

Practice address

28 Chick St Ste 100
Metropolis, IL 62960

Phone

(618) 638-1343

Fax

(618) 638-1340

NPI assigned

Sep 22, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KY, IL2 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

Specialty

Nurse Practitioner

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Massac Memorial HospitalGroup PAC ID 3072422799, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Massac Memorial Hospital Hospital, Metropolis, IL, CCN 141323

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: amandagaudy@massac.medalliesdirect.net

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.

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Medicare reassignment Care Compare group NPD
• Health Providers of America, LLC

  • Primary Care Nurse Practitioner
  • Cincinnati, OH
  • NPI 1316560972

  KY

  Medicare reassignment
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1356968275
  NPD
• Massac Memorial Hospital

  • Ambulance
  • Metropolis, IL
  • NPI 1801941968
  NPD
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1417303181
  NPD (past)
• Massac Memorial Hospital

  • Rural Health Clinic/Center
  • Metropolis, IL
  • NPI 1740355809
  NPD (past)

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

• Massac Memorial Hospital

  • Critical Access Hospital
  • Metropolis, IL
  • NPI 1790788578
  Care Compare affiliation

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

{
    "created_epoch": "1253577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1881928992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 CHICK ST",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "629602467",
            "telephone_number": "618-524-2176",
            "fax_number": "618-524-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 CHICK ST STE 100",
            "city": "METROPOLIS",
            "state": "IL",
            "postal_code": "62960",
            "telephone_number": "618-638-1343",
            "fax_number": "618-638-1340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1204 W 10th St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "62960",
            "country_code": "US",
            "telephone_number": "618-524-3572",
            "fax_number": "618-524-3496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28 Chick St",
            "address_purpose": "LOCATION",
            "city": "Metropolis",
            "state": "IL",
            "postal_code": "62960",
            "country_code": "US",
            "telephone_number": "618-524-2176",
            "fax_number": "618-524-4131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REED",
        "first_name": "AMANDA",
        "middle_name": "D",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-22",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "KY",
            "license": "6190S",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne J Rath, MS PHD CCJS MAS LCPC
• Leslie J Ravens
• Linda Levette Rawls, JD, ICADC, ICCS
• Amelia Ray
• Joseph Bruce Redenour, DMD
• Ian Rich, PHARMD
• Ambrosia D Roberts, BS MHP
• Elysha Samantha Roberts
• Rural Health, Inc.
• Jessica Sawyer

• Family Nurse Practitioner in Metropolis, IL
• Providers in Metropolis, 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 Apr 24, 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.