NPIMap

Individual provider Active NPI

Amanda Dernbach, APNP, NP-C

  • Nurse Practitioner
  • Onalaska, WI
National Provider Identifier
1326412701
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
6723-33 Issued in WI
Practice address
191 Theater Rd
Onalaska, WI 54650-8679
Phone
(608) 392-5000
NPI assigned
Nov 22, 2015
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 6723-33 WI
Nurse Practitioner 363L00000X 6723-33 WI Primary

Addresses

Primary practice location

191 Theater Rd
Onalaska, WI 54650-8679

Mailing address

200 1St St SW
Rochester, MN 55905-0002
Phone (608) 785-0940

Other practice location 1

232 3rd St N Ste 100
LA Crosse, WI 54601-3367
Phone (608) 392-7400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160107001977 WI Practitioner - Nurse Practitioner 1456653435 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5409 Vern Holmes Dr
Stevens Point, WI 54482-8853
Phone (715) 344-1600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.84 of 100Reported as group
Quality
86.21
Promoting interoperability
100
Improvement activities
40
Cost
73.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Jul 1, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 4, 2016 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 4, 2016 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Feb 8, 2024 Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Medical Group, Inc. Current Accepting new patients
Aspirus Wausau Hospital, Inc. CurrentSince Nov 1, 2025 Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients
Aspirus Medical Group, Inc. Past Accepting new patients
Aspirus Wausau Hospital, Inc. Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

3500 Hoover Rd
Stevens Point, WI 54481
Phone (715) 342-7900

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

5409 Vern Holmes Dr
Stevens Point, WI 54482
Phone (715) 342-1015

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

401 W Mohawk Dr
Tomahawk, WI 54487
Phone (715) 453-7200

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

333 Pine Ridge Blvd
Ste 185
Wausau, WI 54401
Phone (715) 847-0477

3200 Westhill Dr
Ste 2100
Wausau, WI 54401

2720 Plaza Dr
Ste 1100
Wausau, WI 54401
Phone (715) 847-2472

4005 Community Center Dr
Weston, WI 54476
Phone (715) 241-5400

2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: adernbach365547@ehrdirect.mayoclinicmsg.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1448150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1326412701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050002",
            "telephone_number": "608-785-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 THEATER RD",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546508679",
            "telephone_number": "608-392-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "232 3rd St N Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Crosse",
            "state": "WI",
            "postal_code": "546013367",
            "country_code": "US",
            "telephone_number": "608-392-7400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERNBACH",
        "first_name": "AMANDA",
        "credential": "APNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-22",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "6723-33",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6723-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Onalaska, WI

Sources for this page

Verify at the official NPI Registry.