AMANDA ENGELE (FNP-C) – Family Nurse Practitioner, NPI 1033580873

AMANDA ENGELE (FNP-C) is a healthcare provider. based in Mount vernon, Illinois. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 0130363 (IL). The NPI Number for AMANDA ENGELE (FNP-C) is 1033580873

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA ENGELE (FNP-C)
NPI
1033580873
Phone
(618) 899-5001
Address
5100 LAKE TER NE STE WC
Enumeration Date
19 October 2015
Last Update Date
21 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6188995001
Graduation Year
2015 (11 years ago)
PAC ID
3678878584
Group Practice PAC ID
3971764762
Professional Enrollment ID
I20160301001351
Address ID
IL628649665MO5100XNEXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for AMANDA ENGELE (FNP-C)

  • 5100 LAKE TER NE STE WC

    MOUNT VERNON, IL 628649665

    Phone: (618) 899-5001

    Type: Location

  • 457 W LEBANON ST

    NASHVILLE, IL 622631350

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $176.

Total Amount is formed as General ($176) + Research ($0) + Ownership ($0) = $176.

Last reported payment date: 2024-10-15 • Largest payer in this snapshot: Lilly USA, LLC ($66).

Total Amount

$176

General + Research + Ownership

Payments

9

Total payment records

General Amount

$176

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-15

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160301001351INurse PractitionerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62864)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971764762View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
Physical Therapist In Private PracticeIL
C H I R O P R A C T I CIL
Family PracticeIL
C H I R O P R A C T I CIL
Clinical PsychologistIN
Nurse PractitionerMN
Nurse PractitionerIL
Family PracticeIL

Reviews

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Frequently asked questions

Can I use this page to confirm AMANDA ENGELE (FNP-C)'s NPI?
Yes. AMANDA ENGELE (FNP-C) is listed with NPI 1033580873 in the public NPI dataset.
Does the file indicate AMANDA ENGELE (FNP-C) is practicing under active NPI?
Directory data currently reports AMANDA ENGELE (FNP-C) as active.
What taxonomy line describes AMANDA ENGELE (FNP-C)?
For research purposes, treat AMANDA ENGELE (FNP-C) as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is AMANDA ENGELE (FNP-C) based?
AMANDA ENGELE (FNP-C) is tied to Mount Vernon, Illinois in the data we show; additional addresses may exist on the full record.
Is the information about AMANDA ENGELE (FNP-C) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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