AMANDA RAY APN
NPI 1972817468
Nurse Practitioner - Family in Chicago, IL
About Amanda Ray Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMANDA RAY APN (NPI 1972817468) is an individual family provider in Chicago, Illinois, licensed in Illinois (209008019) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Mchenry, and is a graduate of Rush Medical College Of Rush University (2009).
NPPES Registry Identity
Specialties & Licenses
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 Ray 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 Ray reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Carol Stream, IL 60122
- Reassigned Medicare billing, Illinois enrollment
- 4,817 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northwestern Medicine Mchenry
Acute Care Hospitals · Mchenry, ILNorthwestern Memorial Hospital
Acute Care Hospitals · Chicago, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 60660 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.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ray's NPI number?
The NPI number for Amanda Ray is 1972817468. It was assigned to this individual provider in the NPPES registry on July 27, 2010.
Where is Amanda Ray located?
Amanda Ray practices at 5625 N Ridge Ave, Chicago, IL 60660. The listed phone number is (866) 825-3227.
What is Amanda Ray's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Amanda Ray enrolled in Medicare?
Yes. Amanda Ray 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 Ray's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Ray reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, 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 Ray's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Amanda Ray affiliated with any hospitals?
According to CMS data, Amanda Ray is affiliated with Northwestern Medicine Mchenry and Northwestern Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Amanda Ray was last updated on July 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 Ray, APN · NPI 1972817468
Family physician in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since July 27, 2010.
## Identity
- **NPI:** 1972817468 (Entity type: Individual)
- **Enumerated:** July 27, 2010
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209008019 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 5625 N RIDGE AVE, Chicago, IL 60660-3434
- **Phone:** (866) 825-3227
## 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:** Northwestern Medical Faculty Foundation (NPI 1346235314, Carol Stream, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rush Medical College Of Rush University, class of 2009
## Record status
- **NPPES last updated:** July 27, 2010
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Source: [NPI Profile](https://npiprofile.com/npi/1972817468) · Data from the CMS NPPES public registry.