| Amanda Jean Powell, RN, APN, FNP-C | |
|
1710 N Randall Rd Ste 140, Elgin, IL 60123-9401 | |
| (630) 584-1400 | |
| Not Available |
| Full Name | Amanda Jean Powell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1710 N Randall Rd Ste 140, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225676992 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 209.019854 (Illinois) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209.019854 (Illinois) | Primary |
| Entity Name | Midwest Internal Medicine Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598074163 PECOS PAC ID: 1355522061 Enrollment ID: O20110228000642 |
| Entity Name | Fvo Primary Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467146100 PECOS PAC ID: 1557711678 Enrollment ID: O20240102001013 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda Jean Powell, RN, APN, FNP-C 2052 Tunbridge Trl, Algonquin, IL 60102-6024 Ph: (847) 987-9883 | Amanda Jean Powell, RN, APN, FNP-C 1710 N Randall Rd Ste 140, Elgin, IL 60123-9401 Ph: (630) 584-1400 |
Jacob Thomas Baker, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Shay Lynn Ward, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1752 Capital St, Elgin, IL 60124 Phone: 847-695-3680 Fax: 847-695-4552 | |
Tiffany Robinson, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 50 S Grove Ave Unit 308, Elgin, IL 60120 Phone: 312-581-8000 | |
Alyssa Marie Cowing, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1530 N Randall Rd Ste 210, Elgin, IL 60123 Phone: 224-760-7322 | |
Jaclyn Mastrangeli, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 | |
Anna Krok, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1710 N Randall Rd Ste 380, Elgin, IL 60123 Phone: 847-450-6057 | |
Ms. Suzanne Marie Butler, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 77 N Airlite St, Elgin, IL 60123 Phone: 847-888-3946 |