Amanda Wruck, BSN MSN FNP-BC is a medicare enrolled "Nurse Practitioner" in Pingree Grove, Illinois. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Jet Healthcare Llc and her current practice location is
2477 Bella Dr, Pingree Grove, Illinois. You can reach out to her office (for appointments etc.) via phone at
(224) 650-4498.
Amanda Wruck is licensed to practice in Illinois (license number 209.031652) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1568255263.
Provider's Profile
| Full Name | Amanda Wruck |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 2477 Bella Dr, Pingree Grove, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Amanda Wruck graduated from nursing school in 2024
NPI Data:
- NPI Number: 1568255263
- Provider Enumeration Date: 05/26/2025
- Last Update Date: 05/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 0042724767
- Enrollment ID: I20250707001131
Medical Identifiers
Medical identifiers for Amanda Wruck such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568255263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209.031652 (Illinois) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Jet Healthcare Llc | 1456781889 | 20 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amanda Wruck allows following entities to bill medicare on her behalf.
| Entity Name | Jet Healthcare LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265052401
PECOS PAC ID: 1456781889
Enrollment ID: O20200424002398 |
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| Entity Name | Hansamssp LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013700541
PECOS PAC ID: 6406237551
Enrollment ID: O20251013000265 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amanda Wruck is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Amanda Wruck, BSN MSN FNP-BC
2477 Bella Dr,
Pingree Grove, IL 60140-6453
Ph: (224) 650-4498 | Amanda Wruck, BSN MSN FNP-BC
2477 Bella Dr,
Pingree Grove, IL 60140-6453
Ph: (224) 650-4498 |
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