AMANDA M VILLAGOMEZ FNP-BC
NPI 1255196267
Nurse Practitioner - Family in Cicero, IL
About Amanda M Villagomez Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA M VILLAGOMEZ FNP-BC (NPI 1255196267) is an individual family provider in Cicero, Illinois, licensed in Illinois (209.028589) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Amanda M Villagomez Fnp-bc 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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Villagomez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Prospect, IL 60056
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Podiatry At Your Door By Dr Garcia, PC
- 5 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60804 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Villagomez's NPI number?
The NPI number for Amanda Villagomez is 1255196267. It was assigned to this individual provider in the NPPES registry on February 19, 2024.
Where is Amanda Villagomez located?
Amanda Villagomez practices at 2440 S Laramie Ave Unit 50646, Cicero, IL 60804. The listed phone number is (773) 414-6881.
What is Amanda Villagomez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Villagomez enrolled in Medicare?
Yes. Amanda Villagomez 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.
Which organization bills Medicare for Amanda Villagomez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Villagomez reassigns Medicare benefits to Podiatry At Your Door By Dr. Garcia, P.C. (Mount Prospect, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Villagomez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amanda Villagomez was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Amanda M Villagomez, FNP-BC · NPI 1255196267
Family physician in Cicero, Illinois. Individual provider, active in the CMS NPPES registry since February 19, 2024.
## Identity
- **NPI:** 1255196267 (Entity type: Individual)
- **Enumerated:** February 19, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.028589 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2440 S LARAMIE AVE UNIT 50646, Cicero, IL 60804-5147
- **Phone:** (773) 414-6881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Podiatry At Your Door By Dr. Garcia, P.C. (NPI 1821576687, Mount Prospect, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** February 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255196267) · Data from the CMS NPPES public registry.