Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1407309941 Individual Practitioner Female Practitioner

Amanda Macke , APN

Nurse Practitioner - Pediatrics • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Amanda Macke, APN is a registered healthcare professional specializing in Nurse Practitioner - Pediatrics in Rockford, IL. Practice services are available at 1200 WEST STATE STREET under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 West State Street

Rockford, IL 611022112

Telephone 8154901600
Fax 8154901881
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Pediatrics in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.0 Yrs
State Avg: 9.5 Yrs
Regional Practice Density
19 Specialists

Practicing in Rockford, IL (694 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-01-16
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

State License IL 209013183

Definition to come...

Practice Associates & Co-Workers

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

40 Associated Practitioners
Caryn Ruzic , APRN

Nurse Practitioner - Family

NPI 1003572660

Advanced Practice Registered Nurse

Dr. John Wall , MD

Family Medicine

NPI 1003899071

Doctor of Medicine (M.D.)

Dr. Adekola Ashaye , MD

Internal Medicine

NPI 1003899162

Doctor of Medicine (M.D.)

NPI 1013188408

Doctor of Medicine (M.D.)

NPI 1013363290

Licensed Social Worker

Dr. Cornita Cannon , MD

Obstetrics & Gynecology

NPI 1013595297

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location January 16, 2020

Registered at 1200 WEST STATE STREET, ROCKFORD, IL 611022112 (Tel: 8154901600)

📍
Updated Business Mailing Address January 16, 2020

Registered at 1200 WEST STATE STREET, ROCKFORD, IL 611022112 (Tel: 8154901600)

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 02, 2016

Registered at 1723 HOWARD ST, EVANSTON, IL 602023735 (Tel: 2243078550)

📍
Updated Business Mailing Address August 02, 2016

Registered at 6150 N ROCKWELL ST APT 1, CHICAGO, IL 606592771 (Tel: 8156701245)

👤
Provider Name / Credentials Updated August 02, 2016

Recorded as AMANDA MACKE, APN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Nurse Practitioner (License #209013183 in IL)

🟢
Initial NPI Registration & Enumeration August 02, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407309941
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 02, 2016
Last Update: January 16, 2020
Sole Proprietor: No

Mailing Address

1200 West State Street

Rockford, IL 611022112

Phone: 8154901600

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.