AMANDA GRACE VANDER WAL APN
NPI 1811249295
Nurse Practitioner - Family in Downers Grove, IL
About Amanda Grace Vander Wal Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA GRACE VANDER WAL APN (NPI 1811249295) is an individual family provider in Downers Grove, Illinois, licensed in Illinois (209.009874) and active in the NPI registry since October 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Coon Rapids, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Grace Vander Wal Apn 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 Vander Wal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Downers Grove, IL 60515
- Reassigned Medicare billing, Illinois enrollment
- 4,870 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60515 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 5
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DOWNERS GROVE, IL 60515
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 Vander Wal's NPI number?
The NPI number for Amanda Vander Wal is 1811249295. It was assigned to this individual provider in the NPPES registry on October 9, 2012.
Where is Amanda Vander Wal located?
Amanda Vander Wal practices at 1441 Branding Ave Ste 310, Downers Grove, IL 60515. The listed phone number is (630) 829-1084.
What is Amanda Vander Wal's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Vander Wal enrolled in Medicare?
Yes. Amanda Vander Wal 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 Vander Wal's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Vander Wal reassigns Medicare benefits to Advocate Health And Hospitals Corporation (Downers Grove, 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 Vander Wal'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 Vander Wal was last updated on October 8, 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 Grace Vander Wal, APN · NPI 1811249295
Family physician in Downers Grove, Illinois. Individual provider, active in the CMS NPPES registry since October 9, 2012.
## Identity
- **NPI:** 1811249295 (Entity type: Individual)
- **Enumerated:** October 9, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209.009874 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1441 BRANDING AVE STE 310, Downers Grove, IL 60515-5624
- **Phone:** (630) 829-1084 · **Fax:** (630) 829-1040
## 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:** Advocate Health And Hospitals Corporation (NPI 1578670543, Downers Grove, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2012
## Record status
- **NPPES last updated:** October 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811249295) · Data from the CMS NPPES public registry.