MRS. AMANDA REDIGER – Nurse Practitioner, NPI 1184356958

MRS. AMANDA REDIGER is a healthcare provider. based in Kewanee, Illinois. specializing in NURSE PRACTITIONER. They hold a License No. 209025356 (IL). The NPI Number for MRS. AMANDA REDIGER is 1184356958

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AMANDA REDIGER
NPI
1184356958
Phone
(309) 852-0197
Address
110 N BURR BLVD
Enumeration Date
29 June 2022
Last Update Date
29 June 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3098523115
Graduation Year
2021 (5 years ago)
PAC ID
4587047295
Group Practice PAC ID
5193828556
Professional Enrollment ID
I20220812002325
Address ID
IL614835388TO120XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

11,632 NURSE PRACTITIONER in IL

Provider Addresses for MRS. AMANDA REDIGER

  • 110 N BURR BLVD

    KEWANEE, IL 614432214

    Phone: (309) 852-0197

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $28.

Total Amount is formed as General ($28) + Research ($0) + Ownership ($0) = $28.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: PFIZER INC. ($14).

Total Amount

$28

General + Research + Ownership

Payments

2

Total payment records

General Amount

$28

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

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: 2022-08-12

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
I20220812002325INurse 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90686Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage186186$0
G0008Administration of influenza virus vaccine186186$0
90480Admn sarscov2 vacc 1 dose5656$0
91322Sarscov2 vac 50 mcg/0.5ml im3737$0
91320Sarscv2 vac 30mcg trs-suc im1919$0
View full utilization report →

Insurance plans in this area (ZIP 61443)

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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: 5193828556View full group profile
NameSpecialtyState
Nurse PractitionerIL
Mental Health CounselorIL
-IL
Nurse PractitionerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Can I cross-check MRS. AMANDA REDIGER using NPI 1184356958?
NPI 1184356958 belongs to MRS. AMANDA REDIGER; compare other details if you need extra assurance.
Active or inactive — what applies to MRS. AMANDA REDIGER?
You should see MRS. AMANDA REDIGER as active in CMS-hosted NPPES data.
How would a patient describe MRS. AMANDA REDIGER's focus?
For MRS. AMANDA REDIGER, the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. AMANDA REDIGER located near Kewanee?
MRS. AMANDA REDIGER currently maps to Kewanee, Illinois in this extract.
Can I trust this NPI listing for MRS. AMANDA REDIGER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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