Active NPI
Amy M Connell, MD
- Psychiatry Physician
- Janesville, WI
National Provider Identifier
1396781985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 43685-020
- Practice address
- 1717 Center Ave Ste 260
Janesville, WI 53546-2818 - Phone
- (608) 743-2258
- Fax
- (608) 757-5858
- NPI assigned
- Jun 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 43685-020 | WI | Primary |
Addresses
Primary practice location
1717 Center Ave Ste 260
Janesville, WI 53546-2818
Mailing address
1717 Center Ave Ste 260
Janesville, WI 53546-2818
Phone (608) 743-2258
Other practice location 1
S88W25730 Edgewood Ave
Mukwonago, WI 53149-9609
Phone (262) 706-3391
Other practice location 2
900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-2242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396781985 | Medicaid | WI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040826000569 | WI | Practitioner - Psychiatry | 4082689815 |
Reassigns benefits to 1 organization Practice locations: Stoughton, WI |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- University of Wisconsin School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
900 Ridge St
Stoughton, WI 53589-1864
Phone (608) 873-2242
S88W25730 Edgewood Ave
Mukwonago, WI 53149-9609
Hospital & facility affiliations
- Stoughton Hospital
- Beloit Health System
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43685-020 | WI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Neuropsychological Services LLC | Past | Accepting new patients | |
| David a Byrne Psy D LTD | Past | Accepting new patients |
Interoperability endpoints
- aconnell260178@direct-ehr-ssmhc.com
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.
-
- Psychologist
- Oconomowoc, WI
- NPI 1821660416
-
- Clinical Neuropsychologist
- Madison, WI
- NPI 1982064366
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749340800000",
"number": "1396781985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 CENTER AVE STE 260",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462818",
"telephone_number": "608-743-2258",
"fax_number": "608-757-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 CENTER AVE STE 260",
"city": "JANESVILLE",
"state": "WI",
"postal_code": "535462818",
"telephone_number": "608-743-2258",
"fax_number": "608-757-5858"
}
],
"practiceLocations": [
{
"address_1": "S88W25730 Edgewood Ave",
"address_purpose": "LOCATION",
"city": "Mukwonago",
"state": "WI",
"postal_code": "531499609",
"country_code": "US",
"telephone_number": "262-706-3391",
"fax_number": "262-706-3396",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Ridge St",
"address_purpose": "LOCATION",
"city": "Stoughton",
"state": "WI",
"postal_code": "535891864",
"country_code": "US",
"telephone_number": "608-873-2242",
"fax_number": "608-873-2339",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONNELL",
"first_name": "AMY",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-21",
"last_updated": "2025-06-08",
"certification_date": "2025-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WI",
"license": "43685-020",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1396781985",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Janesville, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.