Amanda Ilag, AGNP
NPI 1114745783 · Primary Care Nurse Practitioner · Berkeley, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Amanda Ilag, AGNP is a Primary Care Nurse Practitioner provider in Berkeley, CA (NPI 1114745783).
Provider details
- NPI number
- 1114745783
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 95032119 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-10-01
- Last updated
- 2025-01-16
- Certified
- 2025-01-15
Frequently asked questions
- What is Amanda Ilag's NPI number?
- Amanda Ilag's National Provider Identifier (NPI) is 1114745783, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Ilag's specialty?
- Amanda Ilag is listed in the NPPES registry with a primary specialty of Primary Care Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Amanda Ilag located?
- Amanda Ilag's practice location on file with NPPES is 1901 4th St Ste 201, Berkeley, CA 94710-1986.
- What is Amanda Ilag's phone number?
- The practice phone number listed in the NPPES registry for Amanda Ilag is (510) 929-1400.
- Does Amanda Ilag accept Medicare?
- Amanda Ilag is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Amanda Ilag's NPI active?
- Yes — Amanda Ilag's NPI (1114745783) is active in the NPPES registry as of the last update on 2025-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.