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AMANDA WRUCK BSN MSN FNP-BC
NPI 1568255263
Nurse Practitioner in Pingree Grove, IL

Active since May 26, 2025PECOS EnrolledAccepts Medicare Assignment
2477 BELLA DR, PINGREE GROVE, IL 60140(224) 650-4498 Get Directions Write a Review

NPPES record last updated: May 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Wruck Bsn Msn Fnp-bc NPPES

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

AMANDA WRUCK BSN MSN FNP-BC (NPI 1568255263) is an individual nurse practitioner in Pingree Grove, Illinois, licensed in Illinois (209.031652) and active in the NPI registry since May 2025. She is enrolled in Medicare PECOS, is affiliated with Saint Anthony Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1568255263
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA WRUCKCredential: BSN MSN FNP-BC
Location Address2477 BELLA DRPingree Grove, IL 60140-6453
Mailing Address2477 Bella DrPingree Grove, IL 60140-6453 · (224) 650-4498
Phone(224) 650-4498
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 26, 2025
NPPES CertifiedMay 26, 2025
✔ NPI 1568255263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.031652
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2477 BELLA DR, Pingree Grove, IL 60140
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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 Wruck Bsn Msn 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.

PECOS PAC ID42724767
PECOS Enrollment IDI20250707001131
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

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

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60140 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
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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 Wruck's NPI number?

The NPI number for Amanda Wruck is 1568255263. It was assigned to this individual provider in the NPPES registry on May 26, 2025.

Where is Amanda Wruck located?

Amanda Wruck practices at 2477 Bella Dr, Pingree Grove, IL 60140. The listed phone number is (224) 650-4498.

What is Amanda Wruck's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Wruck enrolled in Medicare?

Yes. Amanda Wruck 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 Wruck affiliated with any hospitals?

According to CMS data, Amanda Wruck is affiliated with Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Wruck was last updated on May 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.