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

Amy Jo Fugate, AGPCNP

Individual provider Gerontology Nurse Practitioner · NPI 1962020560

Amy Jo Fugate, AGPCNP is a Nurse Practitioner in Mattoon, Illinois. Qualified in 2020, 6 years ago. Practices with Ameriwound Physicians Il LLC, an 11-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2020

Practice location Address checks out

1000 Palm Ave
Mattoon, IL 61938-6031
Phone: (888) 365-6271
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209021558 (IL)

Record details

NPI number1962020560
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedJuly 9, 2020
Last updated in NPPESJanuary 16, 2024
Certification dateJanuary 16, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Ameriwound Physicians Il Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare