Amanda Marie Kubis
NPI 1134993967ActiveIndividual· Nurse Practitioner, Family· Monmouth, IL
Nurse Practitioner, Family in Monmouth, Illinois, licensed in IL, with an NPI issued in November 2023. Their prescriptions cost Medicare Part D more than their services did: $60,162 for 785 claims, against $25,332 paid for services in 2024. Lists Mc Donough District Hospital and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1134993967 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Nov 13, 2023 |
| Last updated in NPPES | Nov 28, 2023 |
| Certified by provider | Nov 28, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209-028929 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 65 |
|---|---|
| Services billed | 402 across 45 procedure codes |
| Paid by Medicare | $25,332 |
Part D prescriptions in 2024
| Prescriptions (claims) | 785 · 1,198 30-day fills |
|---|---|
| Patients | 70 |
| Total drug cost | $60,162 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Hospital affiliations
- Mc Donough District HospitalMacomb, IL
- Memorial HospitalCarthage, IL
- Osf Holy Family Medical CenterMonmouth, IL
- St Mary Medical CenterGalesburg, IL
Other facilities
- Western Ill Home Hlth Care inHome health agency · Monmouth, IL
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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