AMANDA KELSEY JEDRZEJAK (FNP-BC) – Family Nurse Practitioner, NPI 1376218859
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for AMANDA KELSEY JEDRZEJAK (FNP-BC)
15190 S La Grange Rd
Orland Park, IL 604624349
Phone: (708) 797-7900
Type: Location
10604 SOUTHWEST HWY
CHICAGO RIDGE, IL 604152704
Phone: (708) 424-9710
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 155 Open Payments records for all available years, with a total value of $3,828.
Total Amount is formed as General ($3,828) + Research ($0) + Ownership ($0) = $3,828.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($466).
Total Amount
$3,828
General + Research + Ownership
Payments
155
Total payment records
General Amount
$3,828
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $466 |
| Lilly USA, LLC | $303 |
| Seagen Inc. | $185 |
| Merck Sharp & Dohme LLC | $154 |
| Takeda Pharmaceuticals U.S.A., Inc. | $154 |
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: 2022-01-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220120002463 | I | Nurse Practitioner | IL | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 505 | 228 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 239 | 133 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 49 | 44 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 23 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 16 | 13 | $0 |
Insurance plans in this area (ZIP 60462)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hematology/Oncology | IL | |
| Gynecological Oncology | IL | |
| Gynecological Oncology, Obstetrics/Gynecology | IL | |
| Hematology/Oncology, Internal Medicine | IL | |
| Radiation Oncology | IL | |
| Radiation Oncology | IL | |
| Physician Assistant | IL | |
| H E M A T O L O G Y/ O N C O L O G Y | IL | |
| - | IL | |
| - | IL |
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