Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amber Pendegraft, FNP-C

Individual provider Family Nurse Practitioner · NPI 1710549613

Amber Pendegraft, FNP-C is a Nurse Practitioner in Troy, Illinois. Qualified in 2019, 7 years ago. Practices with Gerio Primary Care PC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2019
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

39 Dorothy Dr
Troy, IL 62294-1389
Phone: (618) 530-5079
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 332 S Michigan Ave Ste 1100, Chicago, IL 60604-4416 — (618) 444-7231

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209019581 (IL)

Record details

NPI number1710549613
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 1, 2019
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024
Mailing address341 Scott Troy Rd, O Fallon, IL 62269-4121

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Gerio Primary Care Pc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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