Individual provider Active NPI

Amanda Lee Schmidt, BSN, APNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Atkinson, WI
National Provider Identifier
1063384386
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
17441-33 Issued in WI
Practice address
511 Madison Ave
Fort Atkinson, WI 53538-1444
Phone
(920) 541-3078
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 17441-33 WI Primary

Addresses

Primary practice location

511 Madison Ave
Fort Atkinson, WI 53538-1444

Mailing address

N5404 County Road Q
Jefferson, WI 53549-9431
Phone (920) 723-4789

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260204004186 WI Practitioner - Nurse Practitioner 9234618711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson CountyGroup PAC ID 2264496801, 19 clinicians

Practice addresses (Care Compare)

1541 Annex Rd
Jefferson, WI 53549-9803
Phone (920) 674-3105

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
17441-33WIMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County CurrentSince Jan 1, 2026 Accepting new patients
Jefferson County CurrentSince Jan 1, 2026 Accepting new patients
Oak Tree Child and Family Services LLC CurrentSince Mar 1, 2026 Accepting new patients
Flourish & Thrive Counseling LLC PastSince Sep 21, 2025 Accepting new patients

Locations

511 Madison Ave
Fort Atkinson, WI 53538
Phone (920) 541-3078

1541 Annex Rd
Jefferson, WI 53549
Phone (920) 674-3105

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1063384386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N5404 COUNTY ROAD Q",
            "city": "JEFFERSON",
            "state": "WI",
            "postal_code": "535499431",
            "telephone_number": "920-723-4789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 MADISON AVE",
            "city": "FORT ATKINSON",
            "state": "WI",
            "postal_code": "535381444",
            "telephone_number": "920-541-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "AMANDA",
        "middle_name": "LEE",
        "credential": "BSN, APNP, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "17441-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Atkinson, WI

Sources for this page

Verify at the official NPI Registry.