Individual provider Active NPI

Amanda Nicole Tembreull, M.D.

  • Family Medicine Physician
  • Osceola, WI
National Provider Identifier
1063428209
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
48774 Issued in MN
Practice address
2600 65TH Ave
Osceola, WI 54020-4376
Phone
(715) 294-2111
Fax
(715) 294-2943
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 48774 MN Primary

Addresses

Primary practice location

2600 65TH Ave
Osceola, WI 54020-4376

Mailing address

2600 65TH Ave
Osceola, WI 54020-4376
Phone (715) 294-2111

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080918000666 WI Practitioner - Family Practice 8325045735 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ladd Memorial HospitalGroup PAC ID 9931092848, 69 clinicians

Practice addresses (Care Compare)

2600 65TH Ave
Osceola, WI 54020-4370
Phone (715) 294-2111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
48774MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ladd Memorial Hospital CurrentSince Jan 1, 2015 Accepting new patients
Ladd Memorial Hospital CurrentSince Jan 1, 2015 Accepting new patients

Locations

2600 65th Ave
Osceola, WI 54020
Phone (705) 268-8000

Interoperability endpoints

  • Direct secure messaging: atembreull702610@direct.ochin.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Osceola Medical CenterOsceola, WI, CCN 52Z318 Hospital Corporate Director Jan 1, 2017
Osceola Medical Center Osceola ClinicOsceola, WI, CCN 528606 Rural health clinic Corporate Director
W-2 Managing Employee
Apr 1, 2018
Apr 1, 2018

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1063428209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204376",
            "telephone_number": "715-294-2111",
            "fax_number": "715-294-2943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 65TH AVE",
            "city": "OSCEOLA",
            "state": "WI",
            "postal_code": "540204376",
            "telephone_number": "715-294-2111",
            "fax_number": "715-294-2943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMBREULL",
        "first_name": "AMANDA",
        "middle_name": "NICOLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "48774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Osceola, WI

Sources for this page

Verify at the official NPI Registry.