AMANDA ROBINSON
NPI 1124560727
Physician Assistant - Medical in Cullom, IL

Active since November 14, 2016PECOS EnrolledAccepts Medicare Assignment
105 W HACK ST, CULLOM, IL 60929(815) 689-2126(815) 689-2131 Get Directions Write a Review

NPPES record last updated: July 23, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 23, 2019, Nov 14, 2016 (2 updates tracked since 2016).

About Amanda Robinson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ROBINSON (NPI 1124560727) is an individual medical provider in Cullom, Illinois, licensed in Illinois (085006059) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Saint James Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1124560727
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameAMANDA ROBINSON
Location Address105 W HACK STCullom, IL 60929-7133
Mailing Address105 W Hack StCullom, IL 60929-7133 · (815) 689-2126 · Fax (815) 689-2131
Fax(815) 689-2131
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateNovember 14, 2016
Last NPPES UpdateJuly 23, 20192 updates tracked since enumeration
NPI 1124560727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085006059
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085006059 (IL)
105 W HACK ST, Cullom, IL 60929

Other Identifiers 1

Other205941087IL · Tin

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Amanda Robinson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739468919
PECOS Enrollment IDI20161110001159
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint James Hospital

Acute Care Hospitals · Pontiac, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140161
Location2500 West Reynolds StreetPontiac, IL 61764 · Livingston County
Birthing friendly

St Joseph Medical Center

Acute Care Hospitals · Bloomington, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140162
Location2200 E WashingtonBloomington, IL 61701 · Mc Lean County
Emergency services Birthing friendly

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier42 claims42 services$6.69 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers11 claims1,823 services$0.03 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers11 claims11 services$26.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
105 W HACK ST
CULLOM, IL 60929

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Robinson's NPI number?

The NPI number for Amanda Robinson is 1124560727. It was assigned to this individual provider in the NPPES registry on November 14, 2016.

Where is Amanda Robinson located?

Amanda Robinson practices at 105 W Hack St, Cullom, IL 60929. The listed phone number is (815) 689-2126.

What is Amanda Robinson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Amanda Robinson enrolled in Medicare?

Yes. Amanda Robinson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Amanda Robinson affiliated with any hospitals?

According to CMS data, Amanda Robinson is affiliated with Saint James Hospital and St Joseph Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Robinson was last updated on July 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.