Individual provider Active NPI

Amy E Truckey, PAC, ATC

  • Physician Assistant
  • Green Bay, WI
National Provider Identifier
1487805495
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2888-23 Issued in WI
Practice address
1088 Springhurst Dr
Green Bay, WI 54304-5495
Phone
(920) 888-2828
NPI assigned
Oct 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 288823 WI
Physician Assistant 363A00000X 2888-23 WI Primary

Addresses

Primary practice location

1088 Springhurst Dr
Green Bay, WI 54304-5495

Mailing address

1088 Springhurst Dr
Green Bay, WI 54304-5495
Phone (920) 888-2828

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120210000129 WI Practitioner - Physician Assistant 6002073533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Baylor College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care for Women, SCGroup PAC ID 7113982042, 2 clinicians

Practice addresses (Care Compare)

2411 Holmgren Way
Green Bay, WI 54304-5224
Phone (920) 888-2828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
288823WIMDObstetrics & Gynecology Physician
2888-23WIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Oconto Hospital & Medical Center Inc Obstetrics & Gynecology CurrentSince Feb 3, 2021 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Nov 22, 2017 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Feb 3, 2021 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc PastSince Mar 19, 2023 Accepting new patients

Locations

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1223424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1487805495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 SPRINGHURST DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045495",
            "telephone_number": "920-888-2828",
            "fax_number": "920-338-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 SPRINGHURST DR",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543045495",
            "telephone_number": "920-888-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUCKEY",
        "first_name": "AMY",
        "middle_name": "E",
        "credential": "PAC, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-08",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "288823",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "2888-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.