Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609619691 Individual Practitioner Female Practitioner

Amanda Catherine Fraser , PA-C

Physician Assistant • Rockford, IL

Professional Overview & Biography Verified Profile Summary

Amanda Fraser, PA-C is a registered healthcare professional specializing in Physician Assistant in Rockford, IL. Practice services are available at 1100 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1100 Broadway

Rockford, IL 611041429

Telephone 8154901600
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rockford, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
115 Specialists

Practicing in Rockford, IL (4958 Statewide)

Telehealth Adoption Rate
5.2% 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: 2025-10-30
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.010647

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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
👤
Provider Name / Credentials Updated October 30, 2025

Recorded as AMANDA FRASER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 30, 2025

Physician Assistant (License #085.010647 in IL)

NPI Profile Active June 21, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location June 21, 2024

Registered at 1100 BROADWAY, ROCKFORD, IL 611041429 (Tel: 8154901600)

📍
Updated Business Mailing Address June 21, 2024

Registered at 1200 W STATE ST, ROCKFORD, IL 611022112 (Tel: 5086492917)

👤
Provider Name / Credentials Updated June 21, 2024

Recorded as AMANDA GALLAGHER, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2024

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 17, 2024

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: 1609619691
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 17, 2024
Last Update: October 30, 2025
Sole Proprietor: Yes

Mailing Address

1200 W State St

Rockford, IL 611022112

Phone: 5086492917

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.