Active NPI
Amanda S Carlson, M.D
- Infectious Disease Physician
- Madison, WI
National Provider Identifier
1164628574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 54334
- Practice address
- 1211 Fish Hatchery Rd
Madison, WI 53715-1909 - Phone
- (608) 252-8000
- Fax
- (608) 283-7318
- NPI assigned
- Jun 22, 2007
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 54334 | WI | Primary |
Addresses
Primary practice location
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Mailing address
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Other practice location 1
1313 Fish Hatchery Rd
Madison, WI 53715-1911
Phone (608) 252-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164628574 | Medicaid | WI |
Other names 1
- Amanda Bryant
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | acarlson260690@direct-ehr-ssmhc.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Infectious Disease
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1211 Fish Hatchery Rd
Madison, WI 53715-1909
Phone (608) 252-8000
Hospital & facility affiliations
- SSM Health St Mary'S Hospital - Madison
- SSM Health St Clare Hospital - Baraboo
- SSM Health St Mary'S Hospital - Janesville
- The Monroe Clinic
- Upland Hills Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc | Infectious Disease | Current | Accepting new patients |
| Dean Health Systems, Inc. | Current | Accepting new patients |
Locations
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1211 Fish Hatchery Rd
Madison, WI 53715
Phone (608) 252-8000
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- acarlson260690@direct-ehr-ssmhc.com
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.
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
Infectious Disease
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baraboo, WI
- NPI 1386641207
-
- General Acute Care Hospital
- Madison, WI
- NPI 1184621211
-
- General Acute Care Hospital
- Janesville, WI
- NPI 1194004408
-
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
-
- Critical Access Hospital
- Dodgeville, WI
- NPI 1487745501
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1164628574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-283-7318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 FISH HATCHERY RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537151909",
"telephone_number": "608-252-8000",
"fax_number": "608-283-7318"
}
],
"practiceLocations": [
{
"address_1": "1313 Fish Hatchery Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537151911",
"country_code": "US",
"telephone_number": "608-252-8000",
"fax_number": "608-283-7318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARLSON",
"first_name": "AMANDA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-22",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "WI",
"license": "54334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164628574",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1211 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151909",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "acarlson260690@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "acarlson260690@direct-ehr-ssmhc.com",
"address_1": "1211 Fish Hatchery Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537151909",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "BRYANT",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.