AMANDA MACKE APN
NPI 1407309941
Nurse Practitioner - Pediatrics in Rockford, IL

Active since August 02, 2016PECOS Enrolled
1200 WEST STATE STREET, ROCKFORD, IL 61102(815) 490-1600(815) 490-1881 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Amanda Macke Apn NPPES

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

AMANDA MACKE APN (NPI 1407309941) is an individual pediatrics provider in Rockford, Illinois, licensed in Illinois (209013183) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1407309941
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameAMANDA MACKECredential: APN
Location Address1200 WEST STATE STREETRockford, IL 61102-2112
Mailing Address1200 West State StreetRockford, IL 61102-2112 · (815) 490-1600 · Fax (815) 490-1881
Fax(815) 490-1881
Sole ProprietorNo
Enumeration DateAugust 2, 2016
Last NPPES UpdateJanuary 16, 2020
NPI 1407309941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in IL · 209013183
1200 WEST STATE STREET, Rockford, IL 61102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Amanda Macke Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Pediatrics)
1200 WEST STATE STREET
ROCKFORD, IL 61102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407309941, enumerated as an "individual" on August 02, 2016.

The provider is located at 1200 WEST STATE STREET ROCKFORD, IL 61102 and the phone number is (815) 490-1600.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Quartz. Please consult your insurance carrier or call the provider to verify.