Active NPI
Amanda M Kotowski, NP
- Nurse Practitioner
- New Berlin, WI
National Provider Identifier
1093768871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2644
- Practice address
- 4855 S Moorland Rd
3Rd Floor
New Berlin, WI 53151-7494 - Phone
- (262) 432-7599
- Fax
- (262) 432-7694
- NPI assigned
- May 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2644 | WI | Primary |
Addresses
Primary practice location
4855 S Moorland Rd
3Rd Floor
New Berlin, WI 53151-7494
Mailing address
9000 W Wisconsin Ave
Ms 958
Milwaukee, WI 53226-4874
Phone (414) 266-7615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41265600 | Medicaid | WI |
Other names 1
- Ms. Amanda M Schneider
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Children'S Health System | Past | Accepting new patients | |
| Childrens Physician Group PC | Past | Accepting new patients | |
| The Medical College of Wisconsin, Inc. | Past | Accepting new patients |
Interoperability endpoints
- akotowski6308@direct.chw.org
Organizations & group practices 3
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.
-
- Pediatric Nurse Practitioner
- New Berlin, WI
- NPI 1982526737
-
- Neurology Physician
- Milwaukee, WI
- NPI 1700992450
-
- Internal Medicine Physician
- Milwaukee, WI
- NPI 1699720086
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414540800000",
"number": "1093768871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 W WISCONSIN AVE",
"address_2": "MS 958",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532264874",
"telephone_number": "414-266-7615",
"fax_number": "414-266-6238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4855 S MOORLAND RD",
"address_2": "3RD FLOOR",
"city": "NEW BERLIN",
"state": "WI",
"postal_code": "531517494",
"telephone_number": "262-432-7599",
"fax_number": "262-432-7694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTOWSKI",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2014-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "2644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41265600",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "SCHNEIDER",
"middle_name": "M",
"prefix": "MS.",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}Other providers in New Berlin, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.