1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Physician Assistant
  6. NPI Profile

MISS AMANDA CATHERINE FRASER PA-C
NPI 1609619691
Physician Assistant in Rockford, IL

Active since June 17, 2024PECOS Enrolled
1100 BROADWAY, ROCKFORD, IL 61104(815) 490-1600 Get Directions Write a Review

NPPES record last updated: October 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Amanda Catherine Fraser Pa-c NPPES

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

MISS AMANDA CATHERINE FRASER PA-C (NPI 1609619691) is an individual physician assistant in Rockford, Illinois, licensed in Illinois (085.010647) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609619691
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMISS AMANDA CATHERINE FRASERCredential: PA-C
Location Address1100 BROADWAYRockford, IL 61104-1429
Mailing Address1200 W State StRockford, IL 61102-2112 · (508) 649-2917
Phone(815) 490-1600
Sole ProprietorYes
Enumeration DateJune 17, 2024
Last NPPES UpdateOctober 30, 2025
NPPES CertifiedOctober 30, 2025
✔ NPI 1609619691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.010647
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1100 BROADWAY, Rockford, IL 61104
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Gallahter Pa-c

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.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)

Miss Amanda Catherine Fraser Pa-c 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 61104 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
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
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 6

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

CRUSADERS CENTRAL CLINIC ASSOCIATION
Clinic/Center (Federally Qualified Health Center (FQHC))
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 490-1601
MRS. HEATHER MOON PIPER R.N., M.S., C.N.M.
Advanced Practice Midwife
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 490-1600
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 516-0038
CRUSADERS CENTRAL CLINIC ASSOCIATION
Health Educator
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 490-1600
MRS. THERESA MARIE SHEAHAN NP
Nurse Practitioner (Family)
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 490-1600
CATHERINE LOUISE PIEPER PHARMACIST
Pharmacist
1100 BROADWAY
ROCKFORD, IL 61104
Winnebago County (815) 490-1354

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 Fraser's NPI number?

The NPI number for Amanda Fraser is 1609619691. It was assigned to this individual provider in the NPPES registry on June 17, 2024. The provider is also known as Amanda Gallahter Pa-C.

Where is Amanda Fraser located?

Amanda Fraser practices at 1100 Broadway, Rockford, IL 61104. The listed phone number is (815) 490-1600.

What is Amanda Fraser's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Fraser enrolled in Medicare?

Yes. Amanda Fraser is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Fraser accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and MercyCare Health Plans list Amanda Fraser as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Fraser was last updated on October 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.