Active NPI 1114745783 Individual Practitioner Female Practitioner

Amanda Marie Ilag , AGNP

Nurse Practitioner - Primary Care • Berkeley, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Amanda Ilag, AGNP is a certified Nurse Practitioner - Primary Care practicing in Berkeley, CA. With approximately 2 years of clinical experience since completing medical education in 2024, Amanda Ilag delivers high-quality medical care to the local community at 1901 4TH ST STE 201.

Amanda Ilag is affiliated with Pine Park Health, Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

1901 4th St Ste 201

Berkeley, CA 947101986

Telephone 5109291400

Fax 5109291414

Associated Practice Facility / Clinic

🏢 Pine Park Health, Inc Facility NPI 1346879848

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Primary Care in Berkeley, CA

Rising Specialist (<5 Yrs)

Practitioner Clinical Experience

2 Yrs -5.2 yrs vs City Avg

City Avg: 7.2 Yrs

State Avg: 8.3 Yrs

Regional Practice Density

10 Specialists

Practicing in Berkeley, CA (1139 Statewide)

Telehealth Adoption Rate

40.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Ilag (2 Years) 2 Yrs

Berkeley Specialty Average (7.2 Years) 7.2 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-01-15

Nurse Practitioner - Primary Care Primary Specialty

NUCC Taxonomy Code: 363LP2300X

State License CA 95032119

Definition to come...

Hospital & Practice Group Affiliations

Pine Park Health, Inc

None, Berkeley, CA 94710

Phone: 5109291400

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

30 Associated Practitioners

Rebecca Armstrong , PA

Physician Assistant

NPI 1023765377

Physician Assistant

Carol Williams , RN, MSN-FNP

Nurse Practitioner - Family

NPI 1063783066

Registered Nurse, MSNFNP

Martha Lynch , PA-C

Physician Assistant

NPI 1093727133

Physician Assistant (Certified)

Sabine Haas , FNP-BC

Nurse Practitioner - Family

NPI 1114567500

Family Nurse Practitioner (Board Certified)

Dr. Michael Genualdi , MD

Internal Medicine - Geriatric Medicine

NPI 1124482823

Doctor of Medicine (M.D.)

Lynn Noyce , NURSE PRACTITIONER

Nurse Practitioner - Gerontology

NPI 1134867260

NURSEPRACTITIONER

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location January 16, 2025

Registered at 1901 4TH ST STE 201, BERKELEY, CA 947101986 (Tel: 5109291400)

📍

Updated Business Mailing Address January 16, 2025

Registered at PO BOX 511250, LOS ANGELES, CA 900517805 (Tel: 5109291400)

✅

NPI Profile Active October 01, 2024

NPI status registered as active in NPPES database

📍

Updated Practice Location October 01, 2024

Registered at 2130 POST ST APT 703, SAN FRANCISCO, CA 941153561 (Tel: 6304418437)

📍

Updated Business Mailing Address October 01, 2024

Registered at 2130 POST ST APT 703, SAN FRANCISCO, CA 941153561 (Tel: 6304418437)

👤

Provider Name / Credentials Updated October 01, 2024

Recorded as AMANDA ILAG, AGNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2024

Nurse Practitioner (License #95032119 in CA)

🟢

Initial NPI Registration & Enumeration October 01, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Amanda Ilag. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1114745783

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: October 01, 2024

Last Update: January 16, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 511250

Los Angeles, CA 900517805

Phone: 5109291400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.