Amy T Kenworthy, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

6969A Issued in WY

Practice address

800 Riverside Dr
Waupaca, WI 54981-1943

Phone

(715) 258-1000

NPI assigned

Oct 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY, IL, WI, IA4 enrollments

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 4

Specialty

Emergency Medicine

Education

University of Missouri, Columbia School of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Trinity Medical CenterGroup PAC ID 2264337518, shared by 4 NPIs, 97 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Aspirus Stanley Hospital Hospital, Stanley, WI, CCN 521311
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Cook Hospital Hospital, Cook, MN, CCN 241312

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/9c9d3cdf-0f7f-4b63-979a-f711747b3e95/
• Direct secure messaging: akenworthy209337@direct.thedacare.org
• Direct secure messaging: akenworthy921694@direct.unitypoint.org

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.

• Froedtert &the Medical College of Wisconsin Community Physicians, Inc.

  • Internal Medicine Physician
  • Menomonee Falls, WI
  • NPI 1568787448
  Medicare reassignment NPD
• Thedacare Medical Center - New London, Inc.

  • Critical Access Hospital
  • New London, WI
  • NPI 1538127220
  Medicare reassignment NPD
• Thedacare Medical Center - Shawano, Inc.

  • Critical Access Hospital
  • Shawano, WI
  • NPI 1548260839
  Medicare reassignment NPD
• Thedacare Medical Center - Waupaca, Inc.

  • Critical Access Hospital
  • Waupaca, WI
  • NPI 1710333893
  Medicare reassignment NPD
• Allen Memorial Hospital Corporation

  • Women's Health Nurse Practitioner
  • Waterloo, IA
  • NPI 1891772927
  Medicare reassignment NPD
• McDonough County Hospital District

  • General Acute Care Hospital
  • Macomb, IL
  • NPI 1669420766
  Medicare reassignment NPD
• Northwest Emergency Physicians LLC

  • Emergency Medicine Physician
  • Arlington, WA
  • NPI 1235172370

  WY

  Medicare reassignment NPD
• Trinity Medical Center

  • Psychiatry Physician
  • Rock Island, IL
  • NPI 1033163829

  IA

  Medicare reassignment NPD
• Trinity Medical Center

  • Emergency Medicine Physician
  • Rock Island, IL
  • NPI 1568414134
  Medicare reassignment NPD
• Trinity Regional Medical Center

  • Emergency Medicine Physician
  • Fort Dodge, IA
  • NPI 1073594156
  Medicare reassignment NPD
• Unity Healthcare

  • Internal Medicine Physician
  • Muscatine, IA
  • NPI 1629122742

  Family Medicine

  Medicare reassignment NPD
• Unitypoint Health - Marshalltown

  • Emergency Medicine Physician
  • Marshalltown, IA
  • NPI 1164957593
  Medicare reassignment NPD

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

• Aspirus Stanley Hospital & Clinics, Inc

  • Community/Retail Pharmacy
  • Stanley, WI
  • NPI 1578272266

  Hospital

  Care Compare affiliation
• Aspirus Stanley Hospital & Clinics, Inc.

  • Critical Access Hospital
  • Stanley, WI
  • NPI 1053391730
  Care Compare affiliation
• Cook Hospital

  • Critical Access Hospital
  • Cook, MN
  • NPI 1992763858
  Care Compare affiliation
• Mercy Medical Center-Dyersville

  • Critical Access Hospital
  • Dyersville, IA
  • NPI 1205816725
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780012800000",
    "number": "1346335254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 DEER VALLEY DR",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825209780",
            "telephone_number": "307-335-8248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811943",
            "telephone_number": "715-258-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "83 Deer Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Lander",
            "state": "WY",
            "postal_code": "825209780",
            "country_code": "US",
            "telephone_number": "307-335-8248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENWORTHY",
        "first_name": "AMY",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.053893",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WY",
            "license": "6969A",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "285-320",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "36143235",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ME",
            "license": "MD22847",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119346500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Lynne Johnson, COTA, LMT
• Wendy G Johnson, APNP
• Kristen L Joness
• David Kempfert, RPH
• Jessica Lynn Kennedy, NP
• Kimberley R Kessenich, PT
• Patty Kile
• Bradley Klein, APNP
• Joy Kobiske, NP
• Koch Chiropractic and Wellness Center

• Emergency Medicine Physician in Waupaca, WI
• Providers in Waupaca, WI by specialty
• Emergency Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2026; 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.

Verify at the official NPI Registry.