AMY JO FUGATE AGPCNP
NPI 1962020560
Nurse Practitioner - Gerontology in Mattoon, IL

Active since July 09, 2020PECOS EnrolledAccepts Medicare Assignment
95.01/100
CMS Quality Rating
1000 PALM AVE, MATTOON, IL 61938(888) 365-6271 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Amy Jo Fugate Agpcnp NPPES

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

AMY JO FUGATE AGPCNP (NPI 1962020560) is an individual gerontology provider in Mattoon, Illinois, licensed in Illinois (209021558) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1962020560
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameAMY JO FUGATECredential: AGPCNP
Location Address1000 PALM AVEMattoon, IL 61938-6031
Mailing Address15730 N State Highway 130Newton, IL 62448-3273 · (217) 663-5414
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 9, 2020
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
✔ NPI 1962020560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in IL · 209021558
1000 PALM AVE, Mattoon, IL 61938

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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

Amy Jo Fugate Agpcnp 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 ID8325462484
PECOS Enrollment IDI20200722000688
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 Reassignments

2

Medicare enrollment records show Amy Fugate reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1203 W AUGUSTA BLVD STE 1
Chicago, IL 60642
  • Reassigned Medicare billing, Illinois enrollment
  • 56 clinicians in this Medicare group
General Practice
4957 OAKTON ST, #306
Skokie, IL 60077
  • Reassigned Medicare billing, Illinois enrollment
  • 27 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 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
2,614 services392 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
1,615 services716 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
110 services59 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61938 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.

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.

95.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.02
Promoting Interoperability100
Improvement Activities40

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.

Nurse Practitioner (Family)
1000 PALM AVE
MATTOON, IL 61938
Occupational Therapy Assistant
1000 PALM AVE
MATTOON, IL 61938
Speech-Language Pathologist
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938
Skilled Nursing Facility
1000 PALM AVE
MATTOON, IL 61938

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 Amy Fugate's NPI number?

The NPI number for Amy Fugate is 1962020560. It was assigned to this individual provider in the NPPES registry on July 9, 2020.

Where is Amy Fugate located?

Amy Fugate practices at 1000 Palm Ave, Mattoon, IL 61938. The listed phone number is (888) 365-6271.

What is Amy Fugate's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Amy Fugate enrolled in Medicare?

Yes. Amy Fugate 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 organizations bill Medicare for Amy Fugate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Fugate reassigns Medicare benefits to 2 organizations: Bespoke Psychiatry (Chicago, IL) and Ameriwound Physicians Il LLC (Skokie, IL). Each 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 Amy Fugate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Fugate accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Amy Fugate 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 Amy Fugate was last updated on January 16, 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.