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DR. AMANDA BEATRIZ WELLMANN MD
NPI 1922537927
Student in an Organized Health Care Education/Training Program in Chicago, IL

Active since June 05, 2017PECOS EnrolledAccepts Medicare Assignment
2150 W HARRISON ST, CHICAGO, IL 60612(312) 563-1212 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 9, 2017, Jun 5, 2017 (3 updates tracked since 2017).

About Dr. Amanda Beatriz Wellmann Md NPPES

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

DR. AMANDA BEATRIZ WELLMANN MD (NPI 1922537927) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2017).

NPPES Registry Identity

NPI1922537927
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. AMANDA BEATRIZ WELLMANNCredential: MD
Location Address2150 W HARRISON STChicago, IL 60612-3706
Mailing Address2150 W Harrison StChicago, IL 60612-3706 · (312) 563-1212
Phone(312) 563-1212
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2017
Enumeration DateJune 5, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1922537927 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2150 W HARRISON ST, Chicago, IL 60612
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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

Dr. Amanda Beatriz Wellmann Md 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 ID5597035337
PECOS Enrollment IDI20210827002586
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Wellmann reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals
1,603 mi
Psychiatric Hospital
3102 E HIGHLAND AVE
Patton, CA 92369
  • Reassigned Medicare billing, California enrollment
  • 755 clinicians in this Medicare group
NPI 1043249204 (909) 425-7552

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. DOMINIKA ANNE WINIARSKI PHD
Psychologist (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 563-9016
AYESHA DUA M.D.
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
NICOLE ADAMOWICZ PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARY JANE WELCH NP
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-3112
DHANYA BASKARAN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-2185
DR. ANNEKA JOHNSTON-DUMERAUF MD
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
JADA JARIA JOHNSON M.D
Psychiatry & Neurology (Psychiatry)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375
MARIA FERNANDA SOLIS
Social Worker (Clinical)
2150 W HARRISON ST
CHICAGO, IL 60612
Cook County (312) 942-5375

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 Wellmann's NPI number?

The NPI number for Amanda Wellmann is 1922537927. It was assigned to this individual provider in the NPPES registry on June 5, 2017.

Where is Amanda Wellmann located?

Amanda Wellmann practices at 2150 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 563-1212.

What is Amanda Wellmann's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Amanda Wellmann enrolled in Medicare?

Yes. Amanda Wellmann 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 Wellmann's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Wellmann reassigns Medicare benefits to Department Of State Hospitals (Patton, CA). 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 Wellmann'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 Wellmann was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.