NELLY Y AMADOR (M.D., PMD) – Emergency Medicine Physician, NPI 1336119064
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,845 EMERGENCY MEDICINE in IL
Provider Addresses for NELLY Y AMADOR (M.D., PMD)
1045 W Stephenson St
Freeport, IL 610324864
Phone: (815) 599-6000
Fax: (815) 599-7974
Type: Location
2400 N Rockton Ave
Emergency Medicine
Rockford, IL 611033655
Phone: (815) 971-3333
Fax: (815) 968-0360
Type: Location
Mercyhealth Hospital–Rockton Avenue, 2400, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
EMERGENCY MEDICINE DEPT
ROCKFORD, IL 611033655
Phone: (815) 971-3333
Fax: (815) 968-0360
Type: Mailing
Gunderson Boscobel Area Hospital, 205, Parker Street, Boscobel, Grant County, Wisconsin, 53805, United States
BOSCOBEL, WI 538051642
Phone: (608) 375-4112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2020-02-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051230000503 | I | Emergency Medicine | MN | TBD |
| I20150206000818 | I | Emergency Medicine | IL | TBD |
| I20200211001440 | I | Emergency Medicine | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 83 | 81 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 51 | 50 | $0 |
Insurance plans in this area (ZIP 61032)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | WI | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| - | IL | |
| Emergency Medicine | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| - | IL | |
| - | IL |
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