Individual provider Active NPI

Amy Millage, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Decorah, IA
National Provider Identifier
1558131359
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G176497 Issued in IA
Practice address
1111 Paine St Ste D
Decorah, IA 52101-2411
Phone
(563) 379-8969
NPI assigned
Jan 3, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G176497 IA Primary

Addresses

Primary practice location

1111 Paine St Ste D
Decorah, IA 52101-2411

Mailing address

1111 Paine St Ste D
Decorah, IA 52101-2411
Phone (563) 379-8969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20260107000460 IA Practitioner - Nurse Practitioner 7113413485 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Restorative Therapy and Psychiatric CareGroup PAC ID 7012403389, 2 clinicians

Practice addresses (Care Compare)

1111 Paine St
Suite D
Decorah, IA 52101-2411
Phone (563) 382-1900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G176497IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lighthouse Professional Counseling Services, LLC CurrentSince Sep 21, 2025 Accepting new patients
Restorative Therapy & Psychiatric Care Psychiatric/Mental Health CurrentSince Jan 1, 2026 Accepting new patients

Locations

1111 Paine St
Ste D
Decorah, IA 52101
Phone (563) 380-2587

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.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1558131359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 PAINE ST STE D",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012411",
            "telephone_number": "563-379-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 PAINE ST STE D",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012411",
            "telephone_number": "563-379-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAGE",
        "first_name": "AMY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-03",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G176497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decorah, IA

Sources for this page

Verify at the official NPI Registry.