Mrs Amanda Elizabeth Rodriguez, APNP - Medicare Nurse Practitioner in Appleton, WI

Mrs Amanda Elizabeth Rodriguez, APNP is a medicare enrolled "Nurse Practitioner" in Appleton, Wisconsin. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thedacare Incorporated and her current practice location is 900 E Grant St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 831-5050.

Mrs Amanda Elizabeth Rodriguez is licensed to practice in Wisconsin (license number 10410) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154919769.

Contact Information

Mrs Amanda Elizabeth Rodriguez, APNP
900 E Grant St,
Appleton, WI 54911-3487
(920) 831-5050
Not Available



Provider's Profile

Full NameMrs Amanda Elizabeth Rodriguez
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location900 E Grant St, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda Elizabeth Rodriguez graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1154919769
  • Provider Enumeration Date: 01/08/2021
  • Last Update Date: 01/19/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8123432101
  • Enrollment ID: I20210203000347

Medical Identifiers

Medical identifiers for Mrs Amanda Elizabeth Rodriguez such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154919769NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 10410 (Wisconsin)Primary
363LF0000XNurse Practitioner - Family 10410-33 (Wisconsin)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Thedacare Incorporated1759294887493

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Amanda Elizabeth Rodriguez allows following entities to bill medicare on her behalf.
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Amanda Elizabeth Rodriguez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Amanda Elizabeth Rodriguez, APNP
2594 Sage Dr,
Green Bay, WI 54302-5266

Ph: (920) 579-0424
Mrs Amanda Elizabeth Rodriguez, APNP
900 E Grant St,
Appleton, WI 54911-3487

Ph: (920) 831-5050

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Nurse Practitioner Nurses in Appleton, WI

Ann M Hefter, AGACNP-BC, MSN, BSN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    
Dessia J Laxton-reinke, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-8900    Fax: 920-738-5369
Katie Geiser, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 5045 W Grande Market Dr, Appleton, WI 54913
Phone: 920-886-9380    
Lisa Valiquette, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2500 E Capitol Dr, Appleton, WI 54911
Phone: 920-738-4600    Fax: 920-738-4792
Kimberly A Romenesko, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-735-7645    Fax: 920-735-7618
Steven R Hamel, APN FP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3925 N Gateway Dr, Appleton, WI 54913
Phone: 920-830-6877    
Ms. Zoua Yang, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1818 N Meade St, Appleton, WI 54911
Phone: 920-731-4101    

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