Amber Pendegraft, FNP-C - Medicare Nurse Practitioner in Troy, IL

Amber Pendegraft, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Troy, Illinois. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Post Acute Care Pllc, Sound Physicians Of Illinois Llc, Legacy Healthcare Services Inc, Optimized Wellness Pc and her current practice location is 39 Dorothy Dr, Troy, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 530-5079.

Amber Pendegraft is licensed to practice in Illinois (license number 209019581) 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 1710549613.

Contact Information

Amber Pendegraft, FNP-C
39 Dorothy Dr,
Troy, IL 62294-1389
(618) 530-5079
Not Available

Map and Direction




Provider's Profile

Full NameAmber Pendegraft
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location39 Dorothy Dr, Troy, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Amber Pendegraft graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1710549613
  • Provider Enumeration Date: 07/01/2019
  • Last Update Date: 08/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3678800315
  • Enrollment ID: I20190803000034

Medical Identifiers

Medical identifiers for Amber Pendegraft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710549613NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 209019581 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hospice Of Southern Ill, IncBelleville, ILHospice

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Midwest Post Acute Care Pllc014354711777
Sound Physicians Of Illinois Llc1557533734202
Legacy Healthcare Services Inc21633397222654
Optimized Wellness Pc29618328862

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. Amber Pendegraft allows following entities to bill medicare on her behalf.
Entity NameSound Physicians Of Illinois Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043598865
PECOS PAC ID: 1557533734
Enrollment ID: O20111012000272
Entity NameMidwest Post Acute Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083012074
PECOS PAC ID: 0143547117
Enrollment ID: O20150401000634
Entity NameOptimized Wellness Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1942833363
PECOS PAC ID: 2961832886
Enrollment ID: O20200416003356

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. Amber Pendegraft 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 AddressPractice Location Address
Amber Pendegraft, FNP-C
341 Scott Troy Rd,
O Fallon, IL 62269-4121

Ph: (618) 444-7231
Amber Pendegraft, FNP-C
39 Dorothy Dr,
Troy, IL 62294-1389

Ph: (618) 530-5079

Reviews and Comments


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Practice Location: 39 Dorothy Dr, Troy, IL 62294
Phone: 618-530-5079    Fax: 618-844-5021

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.