Amanda R Preimesberger, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49698-020 Issued in WI

Practice address

300 E Verona Ave Ste a
Verona, WI 53593-1225

Phone

(608) 541-8547

Fax

(608) 466-6551

NPI assigned

Jun 7, 2006

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jul 1, 2023 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: apreimesberger1207371@direct.uwhealth.org

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 16, 2022.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652659200000",
    "number": "1124068192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E VERONA AVE STE A",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931225",
            "telephone_number": "608-541-8547",
            "fax_number": "608-466-6551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E VERONA AVE STE A",
            "city": "VERONA",
            "state": "WI",
            "postal_code": "535931225",
            "telephone_number": "608-541-8547",
            "fax_number": "608-466-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREIMESBERGER",
        "first_name": "AMANDA",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "49698-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124068192",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "apreimesberger1207371@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "752 N High Point Rd",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537172236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tracy D. Pollack, P.T., D.P.T.
• Alison Polzin, CCC-SLP
• Aubreonna Poole
• Emily Portillo, SLP
• Brittany Rose Post
• Stephen Ross Prieve, DMD
• Amanda Purcilly, PT, DPT
• Elizabeth Purpero
• Heidi Pyfferoen, DPT
• Teagan Pyszka, DDS

• All providers in Verona, WI
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.