Amy Jo Fugate, AGPCNP
NPI 1962020560ActiveIndividual· Nurse Practitioner, Gerontology· Mattoon, IL
Nurse Practitioner, Gerontology (AGPCNP) with Bespoke Psychiatry and 1 other group, practicing in Mattoon, Illinois. 826 Medicare patients in 2024, $375,018 paid; nearly all of their 141 Part D prescriptions were generic (99%).
Overview
| NPI | 1962020560 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | AGPCNP |
| Sole proprietor | Yes |
| NPI issued | Jul 9, 2020 |
| Last updated in NPPES | Jan 16, 2024 |
| Certified by provider | Jan 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Gerontology Primary | 363LG0600X | 209021558 | 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 | 826 |
|---|---|
| Services billed | 4,591 across 20 procedure codes |
| Paid by Medicare | $375,018 |
Part D prescriptions in 2024
| Prescriptions (claims) | 141 · 141 30-day fills |
|---|---|
| Patients | 57 |
| Total drug cost | $2,519 |
| Generic share | 99% of claims |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical groups
- Bespoke PsychiatryChicago, IL · 47 clinicians
- Ameriwound Physicians Il LLCPontiac, IL · 12 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Nurse Practitioner, Gerontology providers in Mattoon
- 1700607603