Individual provider Active NPI

Amanda Frassato, FNP

  • Family Nurse Practitioner
  • Pinckneyville, IL
National Provider Identifier
1982336665
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209-029982 Issued in IL
Practice address
5383 Il-154
Pinckneyville, IL 62274-6227
Phone
(618) 357-2187
NPI assigned
Jun 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 041.455829 IL
Family Nurse Practitioner 363LF0000X 209-029982 IL Primary

Addresses

Primary practice location

5383 Il-154
Pinckneyville, IL 62274-6227

Mailing address

502 E Water St
Pinckneyville, IL 62274-1118
Phone (618) 357-2187

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
I20241105001505 IL Practitioner - Nurse Practitioner 1759815350 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinckneyville Community HospitalGroup PAC ID 8123921632, 26 clinicians

Practice addresses (Care Compare)

5383 State Route 154
Pinckneyville, IL 62274-3342
Phone 61835721875902

Hospital & facility affiliations

  • Pinckneyville Community Hospital Hospital, Pinckneyville, IL, CCN 141307
  • Marshall Browning Hospital Hospital, Du Quoin, IL, CCN 141331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
041.455829ILMDRegistered Nurse
209-029982ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinckneyville Community Hospital CurrentSince Oct 28, 2024 Accepting new patients
Pinckneyville Community Hospital CurrentSince Oct 28, 2024 Accepting new patients
United Skin Specialists Illinois LTD, PC CurrentSince Jul 1, 2025 Accepting new patients
Skin Care Center of Southern Il LLC PastSince Jul 1, 2025 Accepting new patients

Locations

4107 S Water Tower Pl
Mount Vernon, IL 62864
Phone (618) 244-0031

5383 State Route 154
Pinckneyville, IL 62274
Phone (618) 357-2131

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1982336665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E WATER ST",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622741118",
            "telephone_number": "618-357-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5383 IL-154",
            "city": "PINCKNEYVILLE",
            "state": "IL",
            "postal_code": "622746227",
            "telephone_number": "618-357-2187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRASSATO",
        "first_name": "AMANDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-30",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041.455829",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-029982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinckneyville, IL

Sources for this page

Verify at the official NPI Registry.